NPIMap

Organization Active NPI

King Lasik Inc PS

  • Ophthalmology Physician
  • Renton, WA
National Provider Identifier
1023349602
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
3260 Issued in WA
Legal business name
KING LASIK INC PS
Practice address
900 SW 16TH St
Renton, WA 98057-2631
Phone
(425) 525-1000
Fax
(425) 525-1001
NPI assigned
Jan 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Mrs. Rachel J Couwenberg
Title
Billing Manager
Phone
(206) 915-5173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 3260 WA Primary

Addresses

Primary practice location

900 SW 16TH St
Renton, WA 98057-2631

Mailing address

PO Box 47148
Seattle, WA 98146-7148
Phone (425) 525-1000

National Provider Directory

National Provider Directory

Locations

900 SW 16th St
Renton, WA 98057
Phone (425) 525-1000

6700 Fort Dent Way
Tukwila, WA 98188

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": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1023349602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47148",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981467148",
            "telephone_number": "425-525-1000",
            "fax_number": "425-525-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SW 16TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572631",
            "telephone_number": "425-525-1000",
            "fax_number": "425-525-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING LASIK INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "COUWENBERG",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "206-915-5173",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "3260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.