Northwest Eye Project PS

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NORTHWEST EYE PROJECT PS

Practice address

25022 104TH Ave SE Ste D
Kent, WA 98030-2822

Phone

(253) 859-1911

Fax

(253) 859-5084

NPI assigned

Nov 28, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Robert Keil Neal, OD

Title

Vice President

Phone

(253) 859-1911

Specialties & licenses 1

Addresses

Other names 1

• Benson Vision Source Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas L. Mitchell, O.D.

  • Optometrist
  • Kent, WA
  • NPI 1538140637
  NPD

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1497225882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25022 104TH AVE SE STE D",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25022 104TH AVE SE STE D",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302822",
            "telephone_number": "253-859-1911",
            "fax_number": "253-859-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST EYE PROJECT PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KEIL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "253-859-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benson Vision Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Wayne Nodtvedt, DDS
• Fraidoon Noori
• Erin Maria Nordman, SLP
• Gabriel Jay Norman, LMP
• Kymberly L Normand, P.T.A.
• Northwest Eyecare Network
• Northwest Kidney Centers
• Northwest Kidney Centers
• Northwest Transport
• Misty Chieko Noster

• Optometrist in Kent, WA
• Providers in Kent, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.