POULSBO EYECARE CENTER
NPI 1477612463
Optometrist in Poulsbo, WA

Q: What is Kitsap Eyecare Centers Inc Ps's NPI number?

The NPI number for Kitsap Eyecare Centers Inc Ps is 1477612463. It was assigned to this organization in the NPPES registry on December 6, 2006. The provider is doing business as Poulsbo Eyecare Center.

Q: What is Kitsap Eyecare Centers Inc Ps's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since December 06, 2006

19220 8TH AVE NE, SUITE A, POULSBO, WA 98370(360) 779-2336(360) 779-7628 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 11, 2021, Aug 22, 2020 (2 updates tracked since 2020).

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About Poulsbo Eyecare Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POULSBO EYECARE CENTER (NPI 1477612463) is a healthcare organization registered as an optometrist in Poulsbo, Washington and active in the NPI registry since December 2006. The organization lists Ray G. Hedahl, President, as its authorized official.

NPPES Registry Identity

NPI1477612463

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameKITSAP EYECARE CENTERS INC PS

Location Address19220 8TH AVE NE, SUITE APoulsbo, WA 98370-8773

Mailing Address19220 8th Ave Ne Ste APoulsbo, WA 98370-8773 · (360) 779-2336 · Fax (360) 779-7628

Phone(360) 779-2336

Fax(360) 779-7628

Organization SubpartNo

Authorized OfficialRay G. HedahlPresident · (360) 779-2336

Enumeration DateDecember 6, 2006

Last NPPES UpdateJune 11, 20212 updates tracked since enumeration

NPPES CertifiedJune 11, 2021

✔ NPI 1477612463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in WA · 601379904

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

19220 8TH AVE NE, Poulsbo, WA 98370

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Other Names 1

Doing Business AsPoulsbo Eyecare Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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)

Poulsbo Eyecare Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Poulsbo Eyecare Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Ray Hedahl, O.D.

Optometry

NPI 1053420851

19220 8TH AVE NE STE A
Poulsbo, WA 98370

(360) 779-2336

✔ PECOS✔ Accepts MedicareSame address

Mariann Tonder, O.D.

Optometry

NPI 1376652198

19220 8TH AVE NE STE A
Poulsbo, WA 98370

(360) 779-2336

✔ PECOS✔ Accepts MedicareSame address

Diana Moore, O.D.

Optometry

NPI 1801864756

1123 EAGLE DR
Loveland, CO 80537

(970) 622-0646

✔ PECOS✔ Accepts Medicare1,007 mi

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 Kitsap Eyecare Centers Inc Ps's NPI number?

The NPI number for Kitsap Eyecare Centers Inc Ps is 1477612463. It was assigned to this organization in the NPPES registry on December 6, 2006. The provider is doing business as Poulsbo Eyecare Center.

Where is Kitsap Eyecare Centers Inc Ps located?

Kitsap Eyecare Centers Inc Ps is located at 19220 8th Ave NE Suite A, Poulsbo, WA 98370. The listed phone number is (360) 779-2336.

What is Kitsap Eyecare Centers Inc Ps's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kitsap Eyecare Centers Inc Ps enrolled in Medicare?

Yes. Kitsap Eyecare Centers Inc Ps is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kitsap Eyecare Centers Inc Ps?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Kitsap Eyecare Centers Inc 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kitsap Eyecare Centers Inc Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kitsap Eyecare Centers Inc 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 Eyecare Centers Inc Ps was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.