Kitsap Eye Physicians Ps - Medicare in Port Orchard, WA

  1. Home
Kitsap Eye Physicians Ps is a medicare enrolled "Ophthalmology" provider in Port Orchard, Washington. Their current practice location is 1740 Pottery Avenue, Suite 100, Port Orchard, Washington. You can reach out to their office (for appointments etc.) via phone at (360) 895-0847.

Kitsap Eye Physicians Ps is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Kitsap Eye Physicians Ps 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 1174732556.

Contact Information

Kitsap Eye Physicians Ps
1740 Pottery Avenue, Suite 100,
Port Orchard, WA 98366
(360) 895-0847
(360) 876-5771

Map and Direction




Healthcare Provider's Profile

Full NameKitsap Eye Physicians Ps
TypeFacility
SpecialityOphthalmology
Location1740 Pottery Avenue, Port Orchard, Washington
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174732556
  • Provider Enumeration Date: 05/22/2007
  • Last Update Date: 03/31/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2062309354
  • Enrollment ID: O20040302000385

Medical Identifiers

Medical identifiers for Kitsap Eye Physicians Ps such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174732556NPI-NPPES
7071863MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kitsap Eye Physicians Ps acts as a billing entity for following providers:
Provider NamePreston Sullivan
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1275696056
PECOS PAC ID: 6002896214
Enrollment ID: I20040923000474
Provider NameDebra M Sorensen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1245409036
PECOS PAC ID: 8123184066
Enrollment ID: I20090302000471
Provider NameDale Norman Holdren
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1275612277
PECOS PAC ID: 8820985120
Enrollment ID: I20100921000619
Provider NameJason George Gagnon
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1730268731
PECOS PAC ID: 0345366878
Enrollment ID: I20100922000150
Provider NameKenton Scott Sorensen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1467531459
PECOS PAC ID: 7719003870
Enrollment ID: I20100925000342
Provider NameJohn V Hardaway
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1518930858
PECOS PAC ID: 6507055977
Enrollment ID: I20110117000198
Provider NameShamis Fallah
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1780947549
PECOS PAC ID: 6305215716
Enrollment ID: I20240221002252

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. Kitsap Eye Physicians Ps 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
Kitsap Eye Physicians Ps
2655 Wheaton Way,
Bremerton, WA 98310-3318

Ph: (360) 377-3703		Kitsap Eye Physicians Ps
1740 Pottery Avenue, Suite 100,
Port Orchard, WA 98366

Ph: (360) 895-0847

Reviews and Comments



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.