NPIMap

Organization Active NPI

See Saw Eyecare PLLC

  • Optometrist
  • Kent, WA
National Provider Identifier
1629630983
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SEE SAW EYECARE PLLC
Practice address
24416 104TH Ave SE
Kent, WA 98030-4969
Phone
(253) 201-2515
Fax
(253) 479-0104
NPI assigned
Jul 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Dr. Iwona Miltko Dong, ODNPI 1447743562
Title
Otometrist
Phone
(253) 201-2515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X

Addresses

Primary practice location

24416 104TH Ave SE
Kent, WA 98030-4969

Mailing address

24416 104TH Ave SE
Kent, WA 98030-4969
Phone (253) 201-2515

National Provider Directory

National Provider Directory

Locations

24416 104th Ave SE
Kent, WA 98030
Phone (253) 201-2515

10725 SE 256th St
Ste 4
Kent, WA 98030
Phone (253) 201-2515

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1629630983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24416 104TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304969",
            "telephone_number": "253-201-2515",
            "fax_number": "253-479-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24416 104TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304969",
            "telephone_number": "253-201-2515",
            "fax_number": "253-479-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEE SAW EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-07",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "DONG",
        "authorized_official_first_name": "IWONA",
        "authorized_official_middle_name": "MILTKO",
        "authorized_official_title_or_position": "OTOMETRIST",
        "authorized_official_telephone_number": "253-201-2515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.