Active NPI
Ken C Hwahn, OD PS
- Optometrist
- Seattle, WA
National Provider Identifier
1013133636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- WA1720
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WA1720 | Other | WA | STATE LICENSE # |
Other names 1
- Westlake Eye Clinic
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Tukwila, WA
- NPI 1578688263
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.