Healthcare Provider Details

I. General information

NPI: 1073418059
Provider Name (Legal Business Name): KJ VISION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 CORNWALL AVE
BELLINGHAM WA
98225-4716
US

IV. Provider business mailing address

1303 CORNWALL AVE
BELLINGHAM WA
98225-4716
US

V. Phone/Fax

Practice location:
  • Phone: 425-308-2929
  • Fax:
Mailing address:
  • Phone: 425-308-2929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JARED RAHN
Title or Position: OPTOMETRIST/OWNER
Credential: OD
Phone: 425-308-2929