Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benson Vision Source, Inc

Organization Optometrist · NPI 1679601512

Benson Vision Source, Inc is an Optometrist in Kent, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25022 104th Ave SE Ste D
Kent, WA 98030-2822
Phone: (253) 859-1911
Fax: (253) 859-5084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD00003501 (WA)

Record details

NPI number1679601512
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Mitchell — President · (253) 859-1911
NPI enumeratedMarch 1, 2007
Last updated in NPPESNovember 26, 2012
Mailing address25022 104th Ave Se Ste D, Kent, WA 98030-2822

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