Kenneth J Absalonson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60388400 Issued in WA

Practice address

427 S Bernard St
Spokane, WA 99204-2509

Phone

(509) 456-0107

Fax

(509) 747-2635

NPI assigned

Oct 6, 2010

Last updated

Aug 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spokane Eye Clinic PSGroup PAC ID 1759278393, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kabsalonson@arcnj.intellechartdirect.net
• Direct secure messaging: kenneth.absalonson.p2@direct.spokaneeye.nextgenshare.com

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.

• Spokane Eye Clinic PS

  • Multi-Specialty Clinic/Center
  • Spokane, WA
  • NPI 1730187899
  Medicare reassignment Care Compare group NPD
• Multicare Health System

  dba Multicare Neurological Surgery

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment NPD
• Multicare Health System

  dba MultiCare Rockwood Lab

  • Clinical Medical Laboratory
  • Tacoma, WA
  • NPI 1154818326
  NPD
• Multicare Health System

  dba MultiCare Deaconess Retail Pharmacy

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Spokane Eye Clinic PS

  dba Spokane Optical Company

  • Ophthalmology Physician
  • Spokane Valley, WA
  • NPI 1790536597

  Optometrist

  NPD
• Associated Retinal Consultants LLC

  • Ophthalmology Physician
  • Newark, DE
  • NPI 1164578894

  Optometrist

  NPD
• Spokane Eye Clinic PS

  dba Spokane Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Spokane, WA
  • NPI 1831165331
  NPD (past)

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1811206998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S BERNARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042509",
            "telephone_number": "509-456-0107",
            "fax_number": "509-747-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S BERNARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042509",
            "telephone_number": "509-456-0107",
            "fax_number": "509-747-2635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9651 N Nevada St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992181132",
            "country_code": "US",
            "telephone_number": "509-456-0107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16201 E Indiana Ave Ste 5000",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161883",
            "country_code": "US",
            "telephone_number": "509-456-0107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABSALONSON",
        "first_name": "KENNETH",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-06",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60388400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aman Andebrahan Abraha, BSN
• Ann Alexander Abraham, M.D.
• Sabeena Abraham, LMSW
• David A Abramov
• Anna Abramyan
• Naim Abualshar, DDS
• Muaz M Abudiab, MD
• Abundant Paths Counseling PLLC
• Acacia Mental Health Services LLC
• Accelerated Billing & MGMT

• Optometrist in Spokane, WA
• Providers in Spokane, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.