Individual provider Active NPI

Hans Oystein Bjorn, O.D.

  • Optometrist
  • Federal Way, WA
National Provider Identifier
1912232000
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60204244 Issued in WA
Practice address
34719 6TH Ave S
Federal Way, WA 98003-8714
Phone
(253) 874-3969
NPI assigned
Oct 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 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 OD60204244 WA Primary

Addresses

Primary practice location

34719 6TH Ave S
Federal Way, WA 98003-8714

Mailing address

34719 6TH Ave S
Federal Way, WA 98003-8714
Phone (253) 874-3969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20190124001084 ID Practitioner - Optometry 7618146929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eagle Vision One PLLCGroup PAC ID 8921099730, 10 clinicians

Practice addresses (Care Compare)

355 S Eagle Rd
Eagle, ID 83616-5912
Phone (208) 938-2015

4574 N Ten Mile Rd
Suite 100
Meridian, ID 83646-7129
Phone (208) 938-2015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60204244WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Vision One PLLC Optometrist CurrentSince May 4, 2020 Accepting new patients
Evergreen Eye Center, PLLC Past Accepting new patients

Locations

355 S Eagle Rd
Eagle, ID 83616
Phone (208) 938-2015

4574 N Ten Mile Rd
Ste 100
Meridian, ID 83646
Phone (208) 938-2015

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": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1912232000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34719 6TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038714",
            "telephone_number": "253-874-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34719 6TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038714",
            "telephone_number": "253-874-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORN",
        "first_name": "HANS",
        "middle_name": "OYSTEIN",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60204244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.