Dale K. Rahn, O.D.,P.S.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1866 Issued in WA

Legal business name

DALE K. RAHN, O.D.,P.S.

Practice address

10200 19TH Ave SE
Everett, WA 98208-4256

Phone

(425) 379-7470

Fax

(425) 337-3156

NPI assigned

Jan 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Dale Kevin Rahn

Title

President

Phone

(425) 422-9789

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1629340385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 19TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084256",
            "telephone_number": "425-379-7470",
            "fax_number": "425-337-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 19TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084256",
            "telephone_number": "425-379-7470",
            "fax_number": "425-337-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE K. RAHN, O.D.,P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "RAHN",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-422-9789",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.