KITSAP OPTICAL
NPI 1700277803
Technician/Technologist - Optician in Silverdale, WA

Q: What is Vintage Optical LLC's NPI number?

The NPI number for Vintage Optical LLC is 1700277803. It was assigned to this organization in the NPPES registry on February 10, 2015. The provider is doing business as Kitsap Optical.

Q: What is Vintage Optical LLC's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

Active since February 10, 2015

3260 NW MOUNT VINTAGE WAY, SILVERDALE, WA 98383(360) 698-1685(360) 698-1763 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kitsap Optical NPPES

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

KITSAP OPTICAL (NPI 1700277803) is a healthcare organization registered as an optician in Silverdale, Washington and active in the NPI registry since February 2015. The organization lists Douglas Fairbanks, Manager/member, as its authorized official.

NPPES Registry Identity

NPI1700277803

Entity TypeOrganization

Primary Taxonomy156FX1800X

Legal Business NameVINTAGE OPTICAL LLC

Location Address3260 NW MOUNT VINTAGE WAYSilverdale, WA 98383-6000

Mailing Address3260 Nw Mount Vintage WaySilverdale, WA 98383-6000 · (360) 698-1685 · Fax (360) 698-1763

Phone(360) 698-1685

Fax(360) 698-1763

Organization SubpartNo

Authorized OfficialDouglas FairbanksManager/member · (360) 698-1685

Enumeration DateFebruary 10, 2015

Last NPPES UpdateFebruary 11, 2015

✔ NPI 1700277803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers

Taxonomy Code156FX1800X

Definition

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

3260 NW MOUNT VINTAGE WAY, Silverdale, WA 98383

Open in Google Maps ↗

Other Names 1

Doing Business AsKitsap Optical

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 Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Kitsap Optical carries, from the Medicare DMEPOS supplier directory.

Kitsap Optical

DMEPOS supplier · Silverdale, WAOperated by Vintage Optical LLC

⋮

Does not accept Medicare assignment

Kitsap Optical has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20481761

Medicare Participant SinceOctober 23, 2015

Supplier Location3260 NW Mount Vintage WaySilverdale, WA 98383

Phone(360) 698-1685

Supplier Specialties

Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses

Conventional Eyeglasses

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 8

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

MARTHA MOTUZ LEEN MD

Ophthalmology