Active NPI
Julie Nguyen, OD
- Optometrist
- Tukwila, WA
National Provider Identifier
1164940441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 60783544
- Practice address
- 400 Costco Dr # 150
Tukwila, WA 98188-4808 - Phone
- (206) 574-7117
- NPI assigned
- Sep 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 60783544 | WA | Primary |
Addresses
Primary practice location
400 Costco Dr # 150
Tukwila, WA 98188-4808
Mailing address
10032 SE 220TH St
Kent, WA 98031-2510
Phone (206) 766-0505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60783544 | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504656000000",
"number": "1164940441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10032 SE 220TH ST",
"city": "KENT",
"state": "WA",
"postal_code": "980312510",
"telephone_number": "206-766-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 COSTCO DR # 150",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981884808",
"telephone_number": "206-574-7117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JULIE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-06",
"last_updated": "2017-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "60783544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.