Individual provider Active NPI

Lewis Seng Lim, O.D.

  • Optometrist
  • Kent, WA
National Provider Identifier
1265479166
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3736TX Issued in WA
Practice address
10024 SE 240TH St
Ste 220
Kent, WA 98031-5124
Phone
(253) 852-5440
Fax
(253) 852-0272
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 3736TX WA
Low Vision Rehabilitation Optometrist 152WL0500X 3736TX WA
Pediatric Optometrist 152WP0200X 3736TX WA
Sports Vision Optometrist 152WS0006X 3736TX WA
Occupational Vision Optometrist 152WX0102X 3736TX WA
Vision Therapy Optometrist 152WV0400X 3736TX WA
Optometrist 152W00000X 3736TX WA Primary

Addresses

Primary practice location

10024 SE 240TH St
Ste 220
Kent, WA 98031-5124

Mailing address

10024 SE 240TH
Ste 220
Kent, WA 98031-5124
Phone (253) 852-5440

Other identifiers 1

IdentifierTypeStateIssuer
2027357MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL icareopticalofkent@gmail.com Direct

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
I20060412000153 WA Practitioner - Optometry 8729097225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis S Lim and Associates OD PSGroup PAC ID 2860401353, 3 clinicians
Kirkland Vision Center LLCGroup PAC ID 0345476040, 2 clinicians

Practice addresses (Care Compare)

10024 SE 240TH
Suite 220
Kent, WA 98031-5124

10024 SE 240TH St
Suite 220
Kent, WA 98031-5124
Phone (253) 852-5440

13112 NE 70TH PL
Kirkland, WA 98033-8571
Phone (425) 822-8253

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3736TXWAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kirkland Vision Center, LLC Optometrist CurrentSince Oct 1, 2013 Accepting new patients

Locations

10024 SE 240th St
Ste 220
Kent, WA 98031
Phone (253) 852-5440

516 6th St S
Ste 100
Kirkland, WA 98033
Phone (425) 803-2020

13112 NE 70th Pl
Kirkland, WA 98033
Phone (425) 822-8253

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1265479166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 SE 240TH",
            "address_2": "STE 220",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980315124",
            "telephone_number": "253-852-5440",
            "fax_number": "253-852-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 SE 240TH ST",
            "address_2": "STE 220",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980315124",
            "telephone_number": "253-852-5440",
            "fax_number": "253-852-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "LEWIS",
        "middle_name": "SENG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "3736TX",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "WA",
            "license": "3736TX",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "WA",
            "license": "3736TX",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "WA",
            "license": "3736TX",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "WA",
            "license": "3736TX",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "WA",
            "license": "3736TX",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3736TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2027357",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "icareopticalofkent@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10024 SE 240th St",
            "address_2": "STE 220",
            "city": "Kent",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980315124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.