Kent Meridian Family Eyecare
LBN: Richard S. Green
Kent Meridian Family Eyecare is an health care organization with primary practice located at 13210 Se 240Th St Ste C2 , Kent WA 98042-5182. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Richard S. Green can be contacted via phone (253) 631-1530, or through Green, Richard S via phone (253) 631-1530.
Contact Information
Primary practice address
13210 Se 240Th St Ste C2
Kent WA 98042-5182
Phone: (253) 631-1530
Fax: (253) 631-5262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1194994350 |
|---|---|
| LBN Legal business name | Richard S. Green |
| DBA Doing business as | Kent Meridian Family Eyecare |
| Authorized official | Green, Richard S Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2008 |
| Last updated | Feb 22nd, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194994350 | NPPES |
| Washington | MEDICAID | 2001857 |
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