Individual provider Active NPI

Yosef Tekeste, O.D.

  • Optometrist
  • Kent, WA
National Provider Identifier
1790898815
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3796 Issued in WA
Practice address
24800 Pacific Hwy S Ste 2
Kent, WA 98032-5402
Phone
(253) 946-4469
Fax
(253) 946-4499
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3796 WA Primary

Addresses

Primary practice location

24800 Pacific Hwy S Ste 2
Kent, WA 98032-5402

Mailing address

31713 3Rd PL S
Federal Way, WA 98003-5202
Phone (206) 853-6844

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
I20100714000725 WA Practitioner - Optometry 8224160049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

24800 Pacific Hwy S
Suite 2
Kent, WA 98032-5402

24800 Pacific Hwy S 2
Kent, WA 98032-5402
Phone (253) 946-4469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3796WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Allsight Vision Care Optometrist CurrentSince Jun 4, 2010 Accepting new patients

Locations

24800 Pacific Hwy S
Ste 2
Kent, WA 98032
Phone (253) 946-4469

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1790898815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31713 3RD PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035202",
            "telephone_number": "206-853-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24800 PACIFIC HWY S STE 2",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325402",
            "telephone_number": "253-946-4469",
            "fax_number": "253-946-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKESTE",
        "first_name": "YOSEF",
        "name_prefix": "Prof.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.