Organization Active NPI

Seoul Eyeglasses.Inc

  • Optometrist
  • Elkins Park, PA
National Provider Identifier
1386071058
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SEOUL EYEGLASSES.INC
Practice address
1925 W Cheltenham Ave
Elkins Park, PA 19027-1058
Phone
(215) 885-5470
Fax
(215) 885-6466
NPI assigned
Sep 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Mr. Soonae Kim
Title
President
Phone
(215) 885-5470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1925 W Cheltenham Ave
Elkins Park, PA 19027-1058

Mailing address

1925 W Cheltenham Ave
Elkins Park, PA 19027-1058
Phone (215) 885-5470

National Provider Directory

National Provider Directory

Locations

1925 W Cheltenham Ave
Elkins Park, PA 19027
Phone (215) 885-5470

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1386071058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 W CHELTENHAM AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271058",
            "telephone_number": "215-885-5470",
            "fax_number": "215-885-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W CHELTENHAM AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271058",
            "telephone_number": "215-885-5470",
            "fax_number": "215-885-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEOUL EYEGLASSES.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SOONAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-885-5470",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.