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NPI Code Detail

MEDICARE: KOSNOSKI EYE CARE INC

MEDICARE: KOSNOSKI EYE CARE INC
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

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DF8532OTHERWARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881774974
Entity Type Code : Organization
Provider Name (Legal Business Name) : KOSNOSKI EYE CARE INC
Provider Business Mailing 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
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 M KOSNOSKI
Credential : OD
Telephone Number : 253-852-2020
Provider Enumeration Date : 10/16/2006
Last Update Date : 05/28/2025

Similar Medicare Providers

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1003995747 — KOSNOSKI EYE CARE INC
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1013116144 — SETH BRUINSMA O.D.
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1750547931 — NATALIE F CHOI OD
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Directions to “KOSNOSKI EYE CARE INC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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