Organization Active NPI

Ken C Hwahn, OD PS

  • Optometrist
  • Seattle, WA
National Provider Identifier
1013133636
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
WA1720 Issued in WA
Legal business name
KEN C HWAHN, OD PS
Practice address
400 Pine St Ste 30
Seattle, WA 98101-3648
Phone
(206) 624-4898
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ken Hwahn C, OD
Title
President
Phone
(206) 624-4898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X WA1720 WA Primary

Addresses

Primary practice location

400 Pine St Ste 30
Seattle, WA 98101-3648

Mailing address

400 Pine St Ste 30
Seattle, WA 98101-3648
Phone (206) 624-4898

Other identifiers 1

IdentifierTypeStateIssuer
WA1720OtherWASTATE LICENSE #

Other names 1

  • Westlake Eye Clinic Other name

National Provider Directory

National Provider Directory

Locations

400 Pine St
Ste 30
Seattle, WA 98101
Phone (206) 624-4898

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013133636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PINE ST STE 30",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013648",
            "telephone_number": "206-624-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PINE ST STE 30",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013648",
            "telephone_number": "206-624-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN C HWAHN, OD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "C",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "HWAHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-624-4898",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "WA1720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "WA1720",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westlake Eye Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.