Renton Vision Source - Medicare Optometrist in Renton, WA

Renton Vision Source is a medicare enrolled "Optometrist" provider in Renton, Washington. Their current practice location is 112 Pelly Ave N, Renton, Washington. You can reach out to their office (for appointments etc.) via phone at (425) 255-2020.

Renton Vision Source is licensed to practice in Washington (license number 1722 TX) and it also participates in the medicare program. Renton Vision Source is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1902960347.

Contact Information

Renton Vision Source
112 Pelly Ave N,
Renton, WA 98057-5713
(425) 255-2020
(425) 255-2028

Map and Direction




Healthcare Provider's Profile

Full NameRenton Vision Source
TypeFacility
SpecialityOptometrist
Location112 Pelly Ave N, Renton, Washington
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902960347
  • Provider Enumeration Date: 12/20/2006
  • Last Update Date: 07/16/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8022110543
  • Enrollment ID: O20070301000107

Medical Identifiers

Medical identifiers for Renton Vision Source such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902960347NPI-NPPES
2021467MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 1722 TX (Washington)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Renton Vision Source acts as a billing entity for following providers:
Provider NamePaul S Jensen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1891792370
PECOS PAC ID: 8426005265
Enrollment ID: I20050405000222
Provider NameAlison Elizabeth Jensen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1073135109
PECOS PAC ID: 2062832942
Enrollment ID: I20201014002089

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Renton Vision Source is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Renton Vision Source
Po Box 353,
Renton, WA 98057-0353

Ph: (425) 255-2020
Renton Vision Source
112 Pelly Ave N,
Renton, WA 98057-5713

Ph: (425) 255-2020

Reviews and Comments


Optometrist in Renton, WA

Restore Vision Centers
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1300 Sw 7th St Ste 105, Renton, WA 98055
Phone: 425-687-7700    Fax: 425-687-7703
Ali Mainayar,
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1412 Sw 43rd St # 310, Renton, WA 98057
Phone: 800-826-4631    
Alison Elizabeth Jensen, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 112 Pelly Ave N, Renton, WA 98057
Phone: 425-255-2020    
Wendy Kuo-eveland, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 4575 Ne 4th St Ste 2, Renton, WA 98059
Phone: 425-970-3230    Fax: 425-970-3533
Northwest Eye Care, P.s.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 743 Rainier Ave S, Renton, WA 98057
Phone: 425-227-9170    
Vevey Yen, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 10228 Se 186th St, Renton, WA 98055
Phone: 425-277-8028    
Lomas Eye Care Center P.l.l.c.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 17800 Talbot Rd S, Suite A, Renton, WA 98055
Phone: 425-255-0986    Fax: 425-271-5703

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.