RENTON VISION CLINIC
NPI 1457740987
Optometrist in Renton, WA
About Renton Vision Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENTON VISION CLINIC (NPI 1457740987) is a healthcare organization registered as an optometrist in Renton, Washington and active in the NPI registry since January 2015. The organization lists Nasim Javaheri, Owner / Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Renton Vision Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Renton Vision Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently 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 Renton Vision Clinic PLLC's NPI number?
The NPI number for Renton Vision Clinic PLLC is 1457740987. It was assigned to this organization in the NPPES registry on January 21, 2015. The provider is doing business as Renton Vision Clinic.
Where is Renton Vision Clinic PLLC located?
Renton Vision Clinic PLLC is located at 3218 NE 12th St Suite A, Renton, WA 98056. The listed phone number is (425) 228-3364.
What is Renton Vision Clinic PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Renton Vision Clinic PLLC enrolled in Medicare?
Yes. Renton Vision Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Renton Vision Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Renton Vision Clinic PLLC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Renton Vision Clinic PLLC accept?
Health plans from Ambetter Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and BlueCross BlueShield of Tennessee and 1 other insurer list Renton Vision Clinic PLLC 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 Renton Vision Clinic PLLC was last updated on January 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Renton Vision Clinic · NPI 1457740987
Optometrist organization in Renton, Washington. Organization record, active in the CMS NPPES registry since January 21, 2015.
## Identity
- **NPI:** 1457740987 (Entity type: Organization)
- **Enumerated:** January 21, 2015
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Renton Vision Clinic Pllc
- **Organization subpart:** No
- **Authorized official:** Nasim Javaheri, OWNER / MANAGER
## Practice location
- **Address:** 3218 NE 12TH ST, SUITE A, Renton, WA 98056-3405
- **Phone:** (425) 228-3364 · **Fax:** (425) 228-3378
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 21, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1457740987) · Data from the CMS NPPES public registry.