Active NPI
Leigh Hyun Kim, OD
- Optometrist
- Seattle, WA
National Provider Identifier
1417450503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 60836930
- Practice address
- 4401 4TH Ave S
Seattle, WA 98134 - Phone
- (206) 403-2027
- NPI assigned
- Mar 14, 2018
- Last updated
- Aug 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 60836930 | WA | Primary |
Addresses
Primary practice location
4401 4TH Ave S
Seattle, WA 98134
Mailing address
4401 4TH Ave S
Seattle, WA 98134-2311
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4401 4TH Ave S
Seattle, WA 98134-2311
Phone (206) 403-2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60836930 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric Vo OD LLC | Optometrist | Current | Accepting new patients |
Locations
4401 4th Ave S
Seattle, WA 98134
Phone (206) 403-2027
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1417450503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 4TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981342311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 4TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98134",
"telephone_number": "206-403-2027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "LEIGH",
"middle_name": "HYUN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-14",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "60836930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.