Rainier Family Eye Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

WA3950 Issued in WA

Legal business name

RAINIER FAMILY EYE CARE, PLLC

Practice address

6405 Steilacoom Blvd SW
Suite a
Lakewood, WA 98499-2668

Phone

(253) 582-9089

NPI assigned

May 5, 2008

Last updated

May 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kathy Kim, O.D.

Title

Member/Manager

Phone

(253) 312-7972

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kathy C Kim, O.D. Other name

Locations

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1477729911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 STEILACOOM BLVD SW",
            "address_2": "SUITE A",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992668",
            "telephone_number": "253-582-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 STEILACOOM BLVD SW",
            "address_2": "SUITE A",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992668",
            "telephone_number": "253-582-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINIER FAMILY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "253-312-7972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "WA3950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2030831",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kathy C Kim, O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rafael Medicus Clinic, Corp.
• Korbett Onwai Ragas, MBA
• Edie Rahlf, LMP
• Rainbow Rehab,PLLC (Marsha K Hiller)
• Miranda Noel Raines, MS
• Rainier Internal Medicine LLC (Northwest Integrated Health)
• Rainier Mobile Audiology
• Rainier Recovery Centers, LLC (Rainier Recovery)
• Rainier Recovery Centers, LLC (Rainier Recovery)
• Anna Raitt, L.M.T.

• Optometrist in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.