Individual provider Active NPI

SZ Han Chen

  • Optometrist
  • Kent, WA
National Provider Identifier
1407544273
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61434697 Issued in WA
Practice address
10002 SE 240TH St
Kent, WA 98031-4839
Phone
(253) 852-2020
NPI assigned
Apr 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OD61434697 WA
Optometrist 152W00000X OD61434697 WA Primary

Addresses

Primary practice location

10002 SE 240TH St
Kent, WA 98031-4839

Mailing address

251 Southcenter Mall
Tukwila, WA 98188-2834

Other practice location 1

Kaiser Permanente Northgate Clinic
9720 4th Ave NE
Seattle, WA 98115
Phone (206) 302-1200

Other practice location 2

251 Southcenter Mall
Tukwila, WA 98188-2834
Phone (206) 202-2986

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

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
I20230808001621 WA Practitioner - Optometry 7012379019 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD61434697WAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Kosnoski Eye Care Inc Optometrist Current Accepting new patients
Kosnoski Eye Care, Inc Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jun 25, 2023 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jun 25, 2023 Accepting new patients
Kosnoski Eye Care Inc Past Accepting new patients

Locations

604 E Main St
Auburn, WA 98002
Phone (253) 833-6060

2314 SW 336th St
Federal Way, WA 98023
Phone (253) 874-8125

10002 SE 240th St
Kent, WA 98031
Phone (253) 852-2020

12511 Meridian E
Ste 101
Puyallup, WA 98373
Phone (206) 848-8988

14270 SE 176th St
Ste J1
Renton, WA 98058
Phone (425) 255-6860

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9800 4th Ave NE
Seattle, WA 98115
Phone (206) 302-1200

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: cszhan4266506@ghc.direct-ci.net

Organizations & group practices 7

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": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1407544273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 SOUTHCENTER MALL",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10002 SE 240TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980314839",
            "telephone_number": "253-852-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Kaiser Permanente Northgate Clinic",
            "address_2": "9720 4th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98115",
            "country_code": "US",
            "telephone_number": "206-302-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 Southcenter Mall",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981882834",
            "country_code": "US",
            "telephone_number": "206-202-2986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "SZ HAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "OD61434697",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61434697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "Kaiser Permanente Northgate Clinic",
            "address_2": "9720 4th Ave NE",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.