Valley Vision Source Ps
NPI 1710719034 · Optometrist · Renton, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Valley Vision Source Ps is a Optometrist organization in Renton, WA (NPI 1710719034).
Provider details
- NPI number
- 1710719034
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Tiffany Hollenbeck, Chief Executive Officer(425) 545-1010
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
1 yr 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
- 2024-08-15
- Last updated
- 2024-09-10
- Certified
- 2024-09-10
Frequently asked questions
- What is Valley Vision Source Ps's NPI number?
- Valley Vision Source Ps's National Provider Identifier (NPI) is 1710719034, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Valley Vision Source Ps?
- Valley Vision Source Ps is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Valley Vision Source Ps located?
- Valley Vision Source Ps's practice location on file with NPPES is 17800 Talbot Rd S Ste 200, Renton, WA 98055-5740.
- What is Valley Vision Source Ps's phone number?
- The practice phone number listed in the NPPES registry for Valley Vision Source Ps is (425) 545-1010.
- Does Valley Vision Source Ps accept Medicare?
- Valley Vision Source Ps 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 Valley Vision Source Ps?
- The authorized official listed on Valley Vision Source Ps's NPPES record is Tiffany Hollenbeck, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Valley Vision Source Ps's NPI active?
- Yes — Valley Vision Source Ps's NPI (1710719034) is active in the NPPES registry as of the last update on 2024-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.