Active NPI
Jennifer Kwok O.D., Inc.
- Optometrist
- Lynnwood, WA
National Provider Identifier
1598997595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- JENNIFER KWOK O.D., INC.
- Practice address
- 4615 196TH St SW
Ste 170
Lynnwood, WA 98036-3000 - Phone
- (206) 246-0850
- NPI assigned
- Aug 10, 2009
- Last updated
- Jun 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer Kwok, O.D.
- Title
- Optometrist
- Phone
- (425) 778-2611
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
4615 196TH St SW
Ste 170
Lynnwood, WA 98036-3000
Mailing address
4615 196TH St SW
Ste 170
Lynnwood, WA 98036-3000
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Lynnwood, WA
- NPI 1821239658
-
- Optometrist
- Lynnwood, WA
- NPI 1952425746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719187200000",
"number": "1598997595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4615 196TH ST SW",
"address_2": "STE 170",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980363000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4615 196TH ST SW",
"address_2": "STE 170",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980363000",
"telephone_number": "206-246-0850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER KWOK O.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-10",
"last_updated": "2024-06-24",
"status": "A",
"authorized_official_last_name": "KWOK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "425-778-2611",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.