Individual provider Active NPI

Jeff Wilkinson, O.D.

  • Optometrist
  • Yakima, WA
National Provider Identifier
1497861041
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00003392 Issued in WA
Practice address
1410 Lakeside CT Ste 103
Yakima, WA 98902-7305
Phone
(509) 453-2010
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 OD00003392 WA Primary

Addresses

Primary practice location

1410 Lakeside CT Ste 103
Yakima, WA 98902-7305

Mailing address

1410 Lakeside CT Ste 103
Yakima, WA 98902-7305
Phone (509) 453-2010

Other identifiers 1

IdentifierTypeStateIssuer
2025393MedicaidWA

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
I20031210001139 WA Practitioner - Optometry 9830095728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois Medical College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakima Eye SpcialistsGroup PAC ID 5092047399, 3 clinicians

Practice addresses (Care Compare)

1410 Lakeside CT
Suite 103
Yakima, WA 98902-7305
Phone (509) 453-2010

Merit-based Incentive Payment System (MIPS)

Final score
94.47 of 100Reported as group
Quality
88.94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Eye Spcialists Optometrist CurrentSince Aug 5, 2019 Accepting new patients

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497861041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 LAKESIDE CT STE 103",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027305",
            "telephone_number": "509-453-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 LAKESIDE CT STE 103",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027305",
            "telephone_number": "509-453-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "JEFF",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2025393",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.