Provider Type Icon

KENDAL RAE PIATT OD PC NPI 1972725059


NPI Information

NPI: 1972725059
Provider Name: KENDAL RAE PIATT, OD, PC

Doing Business As: GRANDRIDGE EYE CLINIC

Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

CLIA Number: 50D2096327

Address:
7401 W GRANDRIDGE BLVD STE 202
KENNEWICK, WA
ZIP 99336
Phone: (509) 736-0710
Get Directions

KENDAL RAE PIATT, OD, PC is a corneal and contact management optometrist in Kennewick, WA. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. KENDAL RAE PIATT, OD, PC NPI is 1972725059. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Grandridge Eye Clinic.

The provider's business location address is:

7401 W GRANDRIDGE BLVD STE 202
KENNEWICK, WA
ZIP 99336-831
Phone: (509) 736-0710
Fax: (509) 736-0751

The provider's authorized official is Kendal Rae Piatt .
The authorized official title is Owner and has the following contact phone number (509) 736-0710.

The CLIA number assigned to this NPI record is 50D2096327 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 7/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WC0802XOptometristCorneal and Contact Management3907TXWASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18807241MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
2V01417MEDICARE UPINWASHINGTON
32029742MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.