Active NPI
Robert Keil Neal, O.D.
- Optometrist
- Maple Valley, WA
National Provider Identifier
1376632539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00003489
- Practice address
- 26615 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038-8347 - Phone
- (425) 413-8787
- Fax
- (425) 413-4012
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD00003489 | WA | Primary |
Addresses
Primary practice location
26615 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038-8347
Mailing address
26615 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038-8347
Phone (425) 413-8787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2028967 | Medicaid | WA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
26615 Maple Valley Black Diamond Rd
Maple Valley, WA 98038-8347
Phone (425) 413-8787
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benson Vision Source, Inc. | Optometrist | Current | Accepting new patients |
| Eye Doctors LTD PS | Optometrist | Past | Accepting new patients |
Locations
25022 104th Ave SE
Ste D
Kent, WA 98030
Phone (253) 859-1911
Organizations & group practices 3
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.
-
- Optometrist
- Maple Valley, WA
- NPI 1124224217
-
- Optometrist
- Kent, WA
- NPI 1679601512
-
- Optometrist
- Marysville, WA
- NPI 1225005606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745712000000",
"number": "1376632539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26615 MAPLE VALLEY BLACK DIAMOND RD SE",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980388347",
"telephone_number": "425-413-8787",
"fax_number": "425-413-4012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26615 MAPLE VALLEY BLACK DIAMOND RD SE",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980388347",
"telephone_number": "425-413-8787",
"fax_number": "425-413-4012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "ROBERT",
"middle_name": "KEIL",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2025-04-27",
"certification_date": "2025-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD00003489",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2028967",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maple Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.