Individual provider Active NPI

Jon M Willems, OD

  • Optometrist
  • Silverdale, WA
National Provider Identifier
1821072539
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1927 Issued in WA
Practice address
3647 NW Byron St
Silverdale, WA 98383-9127
Phone
(360) 692-6115
Fax
(360) 692-6139
NPI assigned
Dec 6, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1927 WA Primary

Addresses

Primary practice location

3647 NW Byron St
Silverdale, WA 98383-9127

Mailing address

3647 NW Byron St
Silverdale, WA 98383-9127
Phone (360) 692-6115

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
I20041019000417 WA Practitioner - Optometry 4789644261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silverdale Eye Care Center IncGroup PAC ID 2062309313, 4 clinicians
20/20 Eyecare Centers Inc PSGroup PAC ID 9638140072, 2 clinicians

Practice addresses (Care Compare)

3647 NW Byron St
Suite 100
Silverdale, WA 98383-7680
Phone (360) 692-6115

9720 SW Bank Rd
Vashon, WA 98070-4982
Phone (206) 463-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1927WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
20/20 Eyecare Centers Inc PS Optometrist CurrentSince Oct 10, 2000 Accepting new patients
Silverdale Eyecare Center Inc Optometrist CurrentSince Jan 1, 2004 Accepting new patients
Port Orchard Eyecare Centers Inc, PS Optometrist PastSince Apr 4, 2016 Accepting new patients
Auburn Eyecare Center, LLC Optometrist PastSince Sep 1, 2023 Accepting new patients

Locations

3647 NW Byron St
Silverdale, WA 98383
Phone (360) 692-6115

3647 NW Byron St
Ste 100
Silverdale, WA 98383
Phone (360) 692-6115

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821072539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3647 NW BYRON ST",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839127",
            "telephone_number": "360-692-6115",
            "fax_number": "360-692-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3647 NW BYRON ST",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839127",
            "telephone_number": "360-692-6115",
            "fax_number": "360-692-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEMS",
        "first_name": "JON",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.