Active NPI
Kevin George Dean, O.D.
- Optometrist
- Yakima, WA
National Provider Identifier
1487764585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00001781
- Practice address
- 6600 W Nob Hill Blvd
Yakima, WA 98908-1976 - Phone
- (509) 895-5366
- Fax
- (509) 965-1890
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1896AT | OR | |
| Optometrist | 152W00000X | OD00001781 | WA | Primary |
Addresses
Primary practice location
6600 W Nob Hill Blvd
Yakima, WA 98908-1976
Mailing address
6600 W Nob Hill Blvd
Yakima, WA 98908-1976
Phone (509) 895-5366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1896AT | OR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1487764585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 W NOB HILL BLVD",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989081976",
"telephone_number": "509-895-5366",
"fax_number": "509-965-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 W NOB HILL BLVD",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989081976",
"telephone_number": "509-895-5366",
"fax_number": "509-965-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "KEVIN",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "1896AT",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD00001781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.