Individual provider Active NPI

Alan H Homestead, OD

  • Optometrist
  • Seattle, WA
National Provider Identifier
1326190091
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1428 TX Issued in WA
Practice address
10252 16TH Ave SW
Seattle, WA 98146-1432
Phone
(206) 767-4737
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1428 TX WA Primary

Addresses

Primary practice location

10252 16TH Ave SW
Seattle, WA 98146-1432

Mailing address

10252 16TH Ave SW
Seattle, WA 98146-1432
Phone (206) 767-4737

Other identifiers 1

IdentifierTypeStateIssuer
2030484MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111229000183 WA Practitioner - Optometry 7911173075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Cantley Vision Inc PSGroup PAC ID 9638162738, 7 clinicians
Kendal Rae Piatt OD PCGroup PAC ID 9638148539, 3 clinicians

Practice addresses (Care Compare)

3200 Duportail St
Suite 101
Richland, WA 99352-6106
Phone (509) 943-6565

6115 Burden Blvd
Suite D
Pasco, WA 99301-8930
Phone (509) 736-0710

Merit-based Incentive Payment System (MIPS)

Final score
77.7 of 100Reported as group
Quality
55.41
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1428 TXWAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kendal Rae Piatt, OD, PC CurrentSince Oct 1, 2020 Accepting new patients

Locations

7131 W Deschutes Ave
#101
Kennewick, WA 99336
Phone (509) 222-1260

6115 Burden Blvd
Ste D
Pasco, WA 99301
Phone 5094885256 ext. 8512

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1326190091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10252 16TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981461432",
            "telephone_number": "206-767-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10252 16TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981461432",
            "telephone_number": "206-767-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMESTEAD",
        "first_name": "ALAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1428 TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2030484",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.