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BENSON VISION SOURCE, INC.
NPI 1679601512
Optometrist in Kent, WA

Active since March 01, 2007
25022 104TH AVE SE STE D, KENT, WA 98030(253) 859-1911(253) 859-5084 Get Directions Write a Review

NPPES record last updated: November 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benson Vision Source, Inc. NPPES

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

BENSON VISION SOURCE, INC. (NPI 1679601512) is a healthcare organization registered as an optometrist in Kent, Washington and active in the NPI registry since March 2007. The organization lists Thomas L Mitchell, President, as its authorized official.

NPPES Registry Identity

NPI1679601512
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBENSON VISION SOURCE, INC.
Location Address25022 104TH AVE SE STE DKent, WA 98030-2822
Mailing Address25022 104th Ave Se Ste DKent, WA 98030-2822 · (253) 859-1911 · Fax (253) 859-5084
Phone(253) 859-1911
Fax(253) 859-5084
Organization SubpartNo
Authorized OfficialThomas L MitchellPresident · (253) 859-1911
Enumeration DateMarch 1, 2007
Last NPPES UpdateNovember 26, 2012
✔ NPI 1679601512 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 · OD00003501
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.
25022 104TH AVE SE STE D, Kent, WA 98030
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Other Identifiers 4

Medicare ID-Type UnspecifiedGAB34657WA
Medicaid2026748WA
Medicare UPINU93728WA
Medicare NSC4614820001WA

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHWEST EYE PROJECT PS
Optometrist
25022 104TH AVE SE STE D
KENT, WA 98030
King County (253) 859-1911

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 Benson Vision Source, Inc.'s NPI number?

The NPI number for Benson Vision Source, Inc. is 1679601512. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Benson Vision Source, Inc. located?

Benson Vision Source, Inc. is located at 25022 104th Ave SE Ste D, Kent, WA 98030. The listed phone number is (253) 859-1911.

What is Benson Vision Source, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Benson Vision Source, Inc. was last updated on November 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.