Individual provider Active NPI

Nathan Wayne Owen, OD

  • Optometrist
  • Kennewick, WA
National Provider Identifier
1679671531
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60073002 Issued in WA
Practice address
2720 S Quillan St
Kennewick, WA 99337-2404
Phone
(509) 585-8314
Fax
(509) 585-9653
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60073002 WA Primary

Addresses

Primary practice location

2720 S Quillan St
Kennewick, WA 99337-2404

Mailing address

2720 S Quillan St
Kennewick, WA 99337-2404
Phone (509) 585-8314

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
I20090821000114 WA Practitioner - Optometry 3274687587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2720 S Quillan St
Kennewick, WA 99337-2404
Phone (509) 585-8314

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60073002WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Cities Vision Center CurrentSince Apr 9, 2009 Accepting new patients

Locations

2720 S Quillan St
Kennewick, WA 99337
Phone (509) 585-8314

2801 Duportail St
Richland, WA 99352
Phone (509) 628-0030

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1679671531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 S QUILLAN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993372404",
            "telephone_number": "509-585-8314",
            "fax_number": "509-585-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 S QUILLAN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993372404",
            "telephone_number": "509-585-8314",
            "fax_number": "509-585-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "NATHAN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60073002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.