Individual provider Active NPI

Anthony Wayne Homan, O.D.

  • Optometrist
  • Seattle, WA
National Provider Identifier
1972794220
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00004137 Issued in WA
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

Updated by the provider on Nov 17, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071029000189 WA Practitioner - Optometry 7214024959 Reassigns benefits to 1 organization

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
Kosnoski Eye Care IncGroup PAC ID 7618978859, 5 clinicians

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 100Reported as group
Quality
66.99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD00004137WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kosnoski Eye Care, Inc Optometrist CurrentSince Jan 9, 2023 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 PastSince Aug 6, 2023 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.

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

Verify at the official NPI Registry.