Individual provider Active NPI

Thomas D. Lenart, M.D., PH.D.

  • Ophthalmology Physician
  • Redmond, WA
National Provider Identifier
1568514032
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00037554 Issued in WA
Practice address
17130 Avondale Way
Suite 111
Redmond, WA 98052-4455
Phone
(425) 885-6600
Fax
(425) 885-6580
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD00037554 WA Primary

Addresses

Primary practice location

17130 Avondale Way
Suite 111
Redmond, WA 98052-4455

Mailing address

12333 NE 130TH LN Ste 440
Kirkland, WA 98034-7467
Phone (425) 899-3838

Other identifiers 2

IdentifierTypeStateIssuer
368014OtherWAWA LABOR & INDUSTRIES
2076040MedicaidWA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040719001364 WA Practitioner - Ophthalmology 3870572126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Perelman School of Med at the University of Pennsylvania, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proliance Surgeons Inc P SGroup PAC ID 8527972900, 395 clinicians

Practice addresses (Care Compare)

17130 Avondale Way NE
Suite 111
Redmond, WA 98052-4455
Phone (425) 885-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD00037554WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc P S Current Accepting new patients
Proliance Surgeons, Inc., P.S. CurrentSince Sep 1, 2016 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Sep 1, 2016 Accepting new patients
Proliance Surgeons, Inc., P.S. Past Accepting new patients
Children's Hospital & Regional Medical Center 2 Past Accepting new patients

Locations

1800 116th Ave NE
Ste 102
Bellevue, WA 98004
Phone (425) 451-3710

12333 NE 130th Ln
Ste 440
Kirkland, WA 98034
Phone (425) 899-3838

17130 Avondale Way NE
Ste 111
Redmond, WA 98052
Phone (425) 885-6600

875 Swift Blvd
Richland, WA 99352
Phone (509) 943-8977

1321 Aaron Dr
Richland, WA 99352
Phone (425) 885-6600

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

Organizations & group practices 5

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1568514032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12333 NE 130TH LN STE 440",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347467",
            "telephone_number": "425-899-3838",
            "fax_number": "425-899-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17130 AVONDALE WAY",
            "address_2": "SUITE 111",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524455",
            "telephone_number": "425-885-6600",
            "fax_number": "425-885-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENART",
        "first_name": "THOMAS",
        "middle_name": "D.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00037554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LABOR & INDUSTRIES",
            "identifier": "368014",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2076040",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.