Mount Vernon Vision Source Ps Inc
NPI 1093912933 · Optometrist · Mount Vernon, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mount Vernon Vision Source Ps Inc is a Optometrist organization in Mount Vernon, WA (NPI 1093912933).
Provider details
- NPI number
- 1093912933
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Tod Jones, Owner(360) 424-4181
- License
- OD00003502 (WA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-07-02
- Last updated
- 2015-10-14
Frequently asked questions
- What is Mount Vernon Vision Source Ps Inc's NPI number?
- Mount Vernon Vision Source Ps Inc's National Provider Identifier (NPI) is 1093912933, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mount Vernon Vision Source Ps Inc?
- Mount Vernon Vision Source Ps Inc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Mount Vernon Vision Source Ps Inc located?
- Mount Vernon Vision Source Ps Inc's practice location on file with NPPES is 1616 N 18th St Ste 104, Mount Vernon, WA 98273-2600.
- What is Mount Vernon Vision Source Ps Inc's phone number?
- The practice phone number listed in the NPPES registry for Mount Vernon Vision Source Ps Inc is (360) 424-4181.
- Does Mount Vernon Vision Source Ps Inc accept Medicare?
- Mount Vernon Vision Source Ps Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mount Vernon Vision Source Ps Inc?
- The authorized official listed on Mount Vernon Vision Source Ps Inc's NPPES record is Tod Jones, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mount Vernon Vision Source Ps Inc's NPI active?
- Yes — Mount Vernon Vision Source Ps Inc's NPI (1093912933) is active in the NPPES registry as of the last update on 2015-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.