Individual provider Active NPI

Walter Mun-Su Rhee, O.D.

  • Optometrist
  • Federal Way, WA
National Provider Identifier
1245373760
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3040TX Issued in WA
Practice address
35100 Enchanted Pkwy S
Federal Way, WA 98003-8314
Phone
(253) 661-6950
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3040TX WA Primary

Addresses

Primary practice location

35100 Enchanted Pkwy S
Federal Way, WA 98003-8314

Mailing address

35100 Enchanted Pkwy S
Federal Way, WA 98003-8314
Phone (253) 661-6950

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090903000752 WA Practitioner - Optometry 8820143357 Practice locations: Federal Way, WA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

35100 Enchanted Pkwy S
Federal Way, WA 98003-8314
Phone (253) 661-6950

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery70

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3040TXWAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245373760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35100 ENCHANTED PKWY S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038314",
            "telephone_number": "253-661-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35100 ENCHANTED PKWY S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038314",
            "telephone_number": "253-661-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEE",
        "first_name": "WALTER",
        "middle_name": "MUN-SU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3040TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.