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NPI Code Detail

MEDICARE: KENT VISION CLINIC

MEDICARE: KENT VISION CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1457445421
Entity Type Code : Organization
Provider Name (Legal Business Name) : KENT VISION CLINIC
Provider Business Mailing Address
First Line : PO BOX 6609
Second Line :
City : KENT
State : WA
Zip : 98064-6609
Country : US
Telephone Number : 253-852-2020
Fax Number : 253-854-2020
Provider Business Practice Location Address
First Line : 10002 SE 240TH ST
Second Line :
City : KENT
State : WA
Zip : 98031-4839
Country : US
Telephone Number : 253-852-2020
Fax Number : 253-854-2020
Authorized Official
Title or Position : OWNER
Name : EDWARD H KOSNOSKI
Credential : O.D.
Telephone Number : 253-852-2020
Provider Enumeration Date : 10/03/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1891794509 — EDWARD HENRY KOSNOSKI O.D.
Practice Location Address:
10002 SE 240TH ST
KENT, WA
98031-4839
Practice Phone: 253-852-2020
Practice Fax: 253-854-2020
1942200415 — EDWARD MICHAEL KOSNOSKI
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10002 SE 240TH ST
KENT, WA
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1881774974 — KOSNOSKI EYE CARE INC
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1003995747 — KOSNOSKI EYE CARE INC
Practice Location Address:
10002 SE 240TH ST
KENT, WA
98031-4839
Practice Phone: 253-852-2020
Practice Fax: 253-854-2020
1013116144 — SETH BRUINSMA O.D.
Practice Location Address:
10002 SE 240TH ST
KENT, WA
98031-4839
Practice Phone: 253-852-2020
Practice Fax: 253-854-2020
1750547931 — NATALIE F CHOI OD
Practice Location Address:
10002 SE 240TH ST
KENT, WA
98031-4839
Practice Phone: 253-852-2020
Practice Fax: 253-854-2020

Directions to “KENT VISION CLINIC ” Practice Location

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