Active NPI
Anthony Wayne Homan, O.D.
- Optometrist
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00004137
- Practice address
- 3121 E Madison St Ste 102
Seattle, WA 98112-4257 - Phone
- (206) 325-2020
- NPI assigned
- Aug 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD00004137 | WA | Primary |
Addresses
Primary practice location
3121 E Madison St Ste 102
Seattle, WA 98112-4257
Mailing address
PO Box 25604
Seattle, WA 98165-1104
Phone (206) 325-2020
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2314 SW 336TH St
Federal Way, WA 98023-2848
Phone (253) 874-8125
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.5 of 100
- Quality
- 66.99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD00004137 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kosnoski Eye Care, Inc | Optometrist | Current | Accepting new patients |
| Eyewear Gallery LLC | Optometrist | Current | Accepting new patients |
| Kosnoski Eye Care Inc | Optometrist | Current | Accepting new patients |
| Darran Kim O.D. PLLC | Optometrist | Past | Accepting new patients |
| Community Eyecare Centers LLC | Past | 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
3121 E Madison St
Ste 102
Seattle, WA 98112
Phone (206) 325-2020
Organizations & group practices 6
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.
-
- Optometrist
- Kent, WA
- NPI 1003995747
-
- Optometrist
- Seattle, WA
- NPI 1275015604
-
dba Kosnoski Eye Care, Federal Way
- Optometrist
- Federal Way, WA
- NPI 1992254635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1972794220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25604",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981651104",
"telephone_number": "206-325-2020",
"fax_number": "206-860-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 E MADISON ST STE 102",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981124257",
"telephone_number": "206-325-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMAN",
"first_name": "ANTHONY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-01",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD00004137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.