Fairwood Vision Clinic – Clinic/Center, NPI 1518047620

Fairwood Vision Clinic is a healthcare provider. based in Kent, Washington. specializing in Clinic/Center. The NPI Number for Fairwood Vision Clinic is 1518047620

Main info

Organization
Name
Fairwood Vision Clinic
NPI
1518047620
Phone
(253) 852-2020
Address
10002 SE 240TH ST
Authorized Official
EDWARD M KOSNOSKI OWNER OD
Enumeration Date
16 October 2006
Last Update Date
28 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Fairwood Vision Clinic

  • 10002 SE 240TH ST

    KENT, WA 980314839

    Phone: (253) 852-2020

    Fax: (253) 854-2020

    Type: Mailing

  • 6609, West Forest Road, Kent Village, Hyattsville, Prince George's County, Maryland, 20785, United States

    KENT, WA 980646609

    Phone: (253) 852-2020

    Fax: (253) 854-2020

    Type: Mailing

  • Southeast 176th Street, Benson Hill, Renton, King County, Washington, 98055, United States

    RENTON, WA 980588787

    Phone: (425) 255-6860

    Fax: (425) 255-3262

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98031)

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Reviews

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Frequently asked questions

How is Fairwood Vision Clinic identified in CMS data?
CMS-hosted NPPES data lists Fairwood Vision Clinic with NPI 1518047620.
Does the file indicate Fairwood Vision Clinic is practicing under active NPI?
Directory data currently reports Fairwood Vision Clinic as active.
What is Fairwood Vision Clinic's specialty?
The listing groups Fairwood Vision Clinic with Clinic/Center. Clinical services aligned with this taxonomy classification.
Where is Fairwood Vision Clinic based?
Fairwood Vision Clinic is tied to Kent, Washington in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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