Individual provider Active NPI

Henry T Peters, O.D.

  • Optometrist
  • Kirkland, WA
National Provider Identifier
1578664082
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00001388 Issued in WA
Practice address
304 Parkplace Ctr
Kirkland, WA 98033-6229
Phone
(425) 822-8253
Fax
(425) 803-0346
NPI assigned
Sep 26, 2006
Last updated
May 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00001388 WA Primary

Addresses

Primary practice location

304 Parkplace Ctr
Kirkland, WA 98033-6229

Mailing address

304 Parkplace Ctr
Kirkland, WA 98033-6229
Phone (425) 822-8253

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

LicenseStateTypeSpecialty
OD00001388WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kirkland Vision Center, LLC Optometrist Past Accepting new patients
Lewis S Lim and Associates OD PS Optometrist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://icareopticalofkent.ef.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1578664082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 PARKPLACE CTR",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336229",
            "telephone_number": "425-822-8253",
            "fax_number": "425-803-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 PARKPLACE CTR",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336229",
            "telephone_number": "425-822-8253",
            "fax_number": "425-803-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "HENRY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.