Individual provider Active NPI

Virginia Henderson, OD

  • Optometrist
  • Kirkland, WA
National Provider Identifier
1467187906
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61301912 Issued in WA
Practice address
400 Urban PLZ Ste 110
Kirkland, WA 98033-5368
Phone
(425) 403-2020
Fax
(425) 490-5448
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD61301912 WA Primary

Addresses

Primary practice location

400 Urban PLZ Ste 110
Kirkland, WA 98033-5368

Mailing address

400 Urban PLZ Ste 110
Kirkland, WA 98033-5368
Phone (425) 403-2020

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
I20220815002395 WA Practitioner - Optometry 1456734060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
100
Improvement activities
40
Cost
69.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Dana Kindberg and Associates Optometrist CurrentSince Aug 15, 2024 Accepting new patients

Locations

400 Urban Plz
Ste 110
Kirkland, WA 98033
Phone (425) 403-2020

400 Urban Plz
Ste E110
Kirkland, WA 98033
Phone (425) 403-2020

2040 148th Ave NE
Redmond, WA 98052
Phone (425) 641-9202

7330 164th Ave NE
Ste E150
Redmond, WA 98052
Phone (425) 869-2337

Organizations & group practices 1

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": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1467187906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 URBAN PLZ STE 110",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335368",
            "telephone_number": "425-403-2020",
            "fax_number": "425-490-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 URBAN PLZ STE 110",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335368",
            "telephone_number": "425-403-2020",
            "fax_number": "425-490-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61301912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.