East Hill Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001600 Issued in WA

Legal business name

EAST HILL OPTOMETRY

Practice address

11120 SE Kent Kangley Rd
Kent, WA 98030-7708

Phone

(253) 859-0942

NPI assigned

Aug 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Arthur Lum, O.D.

Title

Optometrist

Phone

(253) 859-0942

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1114471802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 SE KENT KANGLEY RD",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307708",
            "telephone_number": "253-859-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 SE KENT KANGLEY RD",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307708",
            "telephone_number": "253-859-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HILL OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "LUM",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "253-859-0942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002798",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Earl
• Celyna Dayanara Easley, LMP
• East Hill Endodontics
• East Hill Foot and Ankle Clinic
• East Hill Medical Clinic
• Easthill Medical Clinic LLC
• Eastridge Family Dental
• Phylliss Marie Eberhardy, MS LMFT CCDCI
• Stacey Eberly
• Richard E. Eccles, M.D.

• Optometrist in Kent, WA
• Providers in Kent, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.