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RENTON VISION SOURCE
NPI 1902960347
Optometrist in Renton, WA

Active since December 20, 2006
112 PELLY AVE N, RENTON, WA 98057(425) 255-2020(425) 255-2028 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1902960347
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameJENTERPRISES PS
Location Address112 PELLY AVE NRenton, WA 98057-5713
Mailing AddressPo Box 353Renton, WA 98057-0353 · (425) 255-2020 · Fax (425) 255-2028
Phone(425) 255-2020
Fax(425) 255-2028
Organization SubpartNo
Authorized OfficialPaul Scott JensenPresident · (425) 255-2020
Enumeration DateDecember 20, 2006
Last NPPES UpdateJuly 16, 2008
✔ NPI 1902960347 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 · 1722 TX
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.
112 PELLY AVE N, Renton, WA 98057
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Other Names 1

Doing Business AsRenton Vision Source

Other Identifiers 4

Medicare PINAB03693WA
Medicare UPINT70507WA
Medicaid2021467WA
Medicare NSC5793900001WA

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 ›

Other Providers at the Same Location NPPES 2

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

ALISON ELIZABETH JENSEN OD
Optometrist
112 PELLY AVE N
RENTON, WA 98057
King County (425) 255-2020
DR. PAUL SCOTT JENSEN O.D.
Optometrist
112 PELLY AVE N
RENTON, WA 98057
King County (425) 255-2020

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.

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.