Kent Vision Clinic – Clinic/Center, NPI 1881774974

Kent Vision Clinic is a healthcare provider. based in Kent, Washington. specializing in Clinic/Center. The NPI Number for Kent Vision Clinic is 1881774974

Main info

Organization
Name
Kent Vision Clinic
NPI
1881774974
Phone
(253) 852-2020
Address
PO BOX 6609
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 Kent Vision Clinic

  • 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

  • 10002 SE 240TH ST

    KENT, WA 980314839

    Phone: (253) 852-2020

    Fax: (253) 854-2020

    Type: Mailing

  • Kosnoski Eyecare, 10002, Southeast 240th Street, East Hill, Kent, King County, Washington, 98031, United States

    KENT, WA 980314839

    Phone: (253) 852-2020

    Fax: (253) 854-2020

    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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (897 days ago).

Enrollment records

1

Earliest due date

2023-12-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930044826OPhysician - OptometristWA2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 98064)

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Reviews

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Frequently asked questions

What unique ID ties claims to Kent Vision Clinic?
NPI 1881774974 is assigned to Kent Vision Clinic under the national enumeration system.
Is Kent Vision Clinic active in the national directory?
Kent Vision Clinic's public NPI profile is in an active state.
What does Kent Vision Clinic treat or focus on?
Patients typically see Kent Vision Clinic under the specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
What location metadata exists for Kent Vision Clinic?
The page summarizes Kent, Washington for Kent Vision Clinic; expand the address list for detail.
How can I contact Kent Vision Clinic?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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