RENTON VISION SOURCE
NPI 1902960347
Optometrist in Renton, WA
About Renton Vision Source NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENTON VISION SOURCE (NPI 1902960347) is a healthcare organization registered as an optometrist in Renton, Washington and active in the NPI registry since December 2006. The organization lists Paul Scott Jensen, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
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 Source is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Renton Vision Source, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Jenterprises Ps's NPI number?
The NPI number for Jenterprises Ps is 1902960347. It was assigned to this organization in the NPPES registry on December 20, 2006. The provider is doing business as Renton Vision Source.
Where is Jenterprises Ps located?
Jenterprises Ps is located at 112 Pelly Ave N, Renton, WA 98057. The listed phone number is (425) 255-2020.
What is Jenterprises Ps's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jenterprises Ps enrolled in Medicare?
Yes. Jenterprises Ps is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jenterprises Ps?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Jenterprises 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 Jenterprises Ps accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Jenterprises 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 Jenterprises Ps was last updated on July 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 Source · NPI 1902960347
Optometrist organization in Renton, Washington. Organization record, active in the CMS NPPES registry since December 20, 2006.
## Identity
- **NPI:** 1902960347 (Entity type: Organization)
- **Enumerated:** December 20, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Jenterprises Ps
- **Organization subpart:** No
- **Authorized official:** Paul Jensen, PRESIDENT
## Practice location
- **Address:** 112 PELLY AVE N, Renton, WA 98057-5713
- **Phone:** (425) 255-2020 · **Fax:** (425) 255-2028
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2008
- **Other identifiers:** Medicare PIN AB03693 (WA); Medicare UPIN T70507 (WA); Medicaid 2021467 (WA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1902960347) · Data from the CMS NPPES public registry.