Active NPI
Wendy Kuo-Eveland, O.D.
- Optometrist
- Renton, WA
National Provider Identifier
1083915532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 60179790
- Practice address
- 4575 NE 4TH St Ste 2
Renton, WA 98059-5054 - Phone
- (425) 970-3230
- Fax
- (425) 970-3533
- NPI assigned
- Nov 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD601797790 | WA | |
| Optometrist | 152W00000X | 60179790 | WA | Primary |
Addresses
Primary practice location
4575 NE 4TH St Ste 2
Renton, WA 98059-5054
Mailing address
4575 NE 4TH St Ste 2
Renton, WA 98059-5054
Phone (425) 970-3230
Other names 1
- CHI-Wen Kuo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4605 NE 4TH St
Suite C
Renton, WA 98059-5055
Phone (425) 970-3230
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60179790 | WA | MD | Optometrist |
| OD601797790 | WA | MD | Optometrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Renton, WA
- NPI 1598002453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1083915532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4575 NE 4TH ST STE 2",
"city": "RENTON",
"state": "WA",
"postal_code": "980595054",
"telephone_number": "425-970-3230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4575 NE 4TH ST STE 2",
"city": "RENTON",
"state": "WA",
"postal_code": "980595054",
"telephone_number": "425-970-3230",
"fax_number": "425-970-3533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUO-EVELAND",
"first_name": "WENDY",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-14",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD601797790",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "60179790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHI-WEN",
"last_name": "KUO",
"credential": "O.D.",
"code": "5",
"type": "Other Name"
}
]
}
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 Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.