NPIMap

Organization Active NPI

Kosnoski Eye Care Inc

Doing business as Fairwood Vision Clinic

  • Clinic/Center
  • Renton, WA
National Provider Identifier
1518047620
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KOSNOSKI EYE CARE INC
Doing business as
Fairwood Vision Clinic
Practice address
14270 SE 176TH St
Renton, WA 98058-8787
Phone
(425) 255-6860
Fax
(425) 255-3262
NPI assigned
Oct 16, 2006
Last updated
May 28, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
KOSNOSKI EYE CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Edward M Kosnoski, ODNPI 1942200415
Title
Owner
Phone
(253) 852-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

14270 SE 176TH St
Renton, WA 98058-8787

Mailing address

10002 SE 240TH St
Kent, WA 98031-4839
Phone (253) 852-2020

Other identifiers 2

IdentifierTypeStateIssuer
1012250MedicaidWA
DF8532OtherWARAILROAD MEDICARE GROUP

Other names 1

  • Fairwood Vision Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Kosnoski Eye Care Inc

Locations

14270 SE 176th St
Renton, WA 98058
Phone (425) 255-6860

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1518047620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10002 SE 240TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980314839",
            "telephone_number": "253-852-2020",
            "fax_number": "253-854-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14270 SE 176TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980588787",
            "telephone_number": "425-255-6860",
            "fax_number": "425-255-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSNOSKI EYE CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KOSNOSKI EYE CARE INC",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "KOSNOSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-852-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012250",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DF8532",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairwood Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.