| Renton Vision Source | |
|
112 Pelly Ave N, Renton, WA 98057-5713 | |
| (425) 255-2020 | |
| (425) 255-2028 |
| Full Name | Renton Vision Source |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 112 Pelly Ave N, Renton, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902960347 | NPI | - | NPPES |
| 2021467 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1722 TX (Washington) | Primary |
| Provider Name | Paul S Jensen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891792370 PECOS PAC ID: 8426005265 Enrollment ID: I20050405000222 |
| Provider Name | Alison Elizabeth Jensen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073135109 PECOS PAC ID: 2062832942 Enrollment ID: I20201014002089 |
| Mailing Address | Practice 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 |
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 |