Individual provider Active NPI

Peter Hovander, OD

  • Optometrist
  • Redmond, WA
National Provider Identifier
1740954577
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
61169262 Issued in WA
Practice address
7330 164TH Ave NE Ste E150
Redmond, WA 98052-7852
Phone
(425) 869-2337
NPI assigned
Aug 5, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 61169262 WA Primary

Addresses

Primary practice location

7330 164TH Ave NE Ste E150
Redmond, WA 98052-7852

Mailing address

7330 164TH Ave NE Ste E150
Redmond, WA 98052-7852
Phone (425) 869-2337

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
I20221230002002 WA Practitioner - Optometry 8527438894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kyle Sexton, O.D., LLCGroup PAC ID 1951470913, 10 clinicians

Practice addresses (Care Compare)

3500 S Meridian
Suite 926
Puyallup, WA 98373-3749
Phone (253) 864-9353

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61169262WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kyle Sexton, O.D., LLC Optometrist CurrentSince Dec 1, 2022 Accepting new patients

Locations

625 Black Lake Blvd SW
Ste 110
Olympia, WA 98502
Phone (360) 357-2542

3500 S Meridian
Ste 926
Puyallup, WA 98373
Phone (253) 864-9350

7330 164th Ave NE
Ste E150
Redmond, WA 98052
Phone (425) 869-2337

4051 Tacoma Mall Blvd
Tacoma, WA 98409
Phone (206) 473-2215

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": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1740954577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 164TH AVE NE STE E150",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527852",
            "telephone_number": "425-869-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 164TH AVE NE STE E150",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527852",
            "telephone_number": "425-869-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVANDER",
        "first_name": "PETER",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61169262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.