Individual provider Active NPI

Jessica Hontz, O.D.

  • Optometrist
  • Kent, WA
National Provider Identifier
1790103893
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60450220 Issued in WA
Practice address
10002 SE 240TH St
Kent, WA 98031-4839
Phone
(253) 852-2020
NPI assigned
Apr 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60450220 WA Primary

Addresses

Primary practice location

10002 SE 240TH St
Kent, WA 98031-4839

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
G8938605OtherMEDICARE PTAN

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
I20140620001518 WA Practitioner - Optometry 3678797206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kosnoski Eye Care IncGroup PAC ID 7618978859, 5 clinicians

Practice addresses (Care Compare)

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

Merit-based Incentive Payment System (MIPS)

Final score
83.5 of 100Reported as group
Quality
66.99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60450220WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kosnoski Eye Care Inc Optometrist CurrentSince Apr 1, 2015 Accepting new patients
Kosnoski Eye Care Inc Past Accepting new patients

Locations

604 E Main St
Auburn, WA 98002
Phone (253) 833-6060

2314 SW 336th St
Federal Way, WA 98023
Phone (253) 874-8125

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

12511 Meridian E
Ste 101
Puyallup, WA 98373
Phone (206) 848-8988

14270 SE 176th St
Ste J1
Renton, WA 98058
Phone (425) 255-6860

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1790103893",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10002 SE 240TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980314839",
            "telephone_number": "253-852-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONTZ",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60450220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8938605",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.