KITSAP EYE PHYSICIANS PS
NPI 1174732556
Ophthalmology in Bremerton, WA
About Kitsap Eye Physicians Ps NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KITSAP EYE PHYSICIANS PS (NPI 1174732556), doing business as Dale N Holdren Md Inc, is a healthcare organization registered as an ophthalmology in Bremerton, Washington and active in the NPI registry since May 2007. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Port Orchard, and lists Kenton N Sorensen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kitsap Eye Physicians Ps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Kitsap Eye Physicians Ps, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 50D2146030
Kitsap Eye Physicians · Port Orchard, WACertificate of Waiver 50D2146031
Kitsap Eye Physicians · Bremerton, WAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kitsap Eye Physicians Ps's NPI number?
The NPI number for Kitsap Eye Physicians Ps is 1174732556. It was assigned to this organization in the NPPES registry on May 22, 2007. The provider was formerly known as Dale N Holdren MD Inc.
Where is Kitsap Eye Physicians Ps located?
Kitsap Eye Physicians Ps is located at 2655 Wheaton Way, Bremerton, WA 98310. The listed phone number is (360) 377-3703.
What is Kitsap Eye Physicians Ps's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Kitsap Eye Physicians Ps enrolled in Medicare?
Yes. Kitsap Eye Physicians Ps is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kitsap Eye Physicians Ps?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Kitsap Eye Physicians Ps. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (4) and Optometry (3). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kitsap Eye Physicians Ps hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Kitsap Eye Physicians Ps accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Kitsap Eye Physicians Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kitsap Eye Physicians Ps was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kitsap Eye Physicians Ps · NPI 1174732556
Ophthalmology organization in Bremerton, Washington. Organization record, active in the CMS NPPES registry since May 22, 2007.
## Identity
- **NPI:** 1174732556 (Entity type: Organization)
- **Enumerated:** May 22, 2007
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Also known as:** Dale N Holdren MD Inc (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Kenton Sorensen, OWNER
## Practice location
- **Address:** 2655 WHEATON WAY, Bremerton, WA 98310-3318
- **Phone:** (360) 377-3703 · **Fax:** (360) 377-9469
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (4), Optometry (3); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 23, 2025
- **Other identifiers:** Medicaid 7071863 (WA)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174732556) · Data from the CMS NPPES public registry.