Edmonds Eye M.D., PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

BL006975 Issued in WA

Legal business name

EDMONDS EYE M.D., PLLC

Practice address

7320 216TH St SW
Suite 220
Edmonds, WA 98026-8006

Phone

(425) 673-3990

Fax

(425) 673-3993

NPI assigned

Dec 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Anna S Kim, M.D.

Title

Owner

Phone

(425) 673-3990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1659555639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 216TH ST SW",
            "address_2": "SUITE 220",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268006",
            "telephone_number": "425-673-3990",
            "fax_number": "425-673-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 216TH ST SW",
            "address_2": "SUITE 220",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268006",
            "telephone_number": "425-673-3990",
            "fax_number": "425-673-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMONDS EYE M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-673-3990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "BL006975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Nicole Edelstein, LMHC, SUDP
• Analee Edlefsen, DPT
• Edmonds Anesthesia Associates Inc PS
• Edmonds Bay Dental
• Edmonds Emergency Physicians, Inc.
• Edmonds Eyecare Associates Inc PS
• Edmonds Family Chiropractic LLC
• Edmonds Family Medicine Clinic PS
• Edmonds Garden Afh LLC
• Edmonds Health Clinic

• Ophthalmology Physician in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.