Samuel Lee Ahn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00003506 Issued in WA

Practice address

1000 NE Park Dr
Issaquah, WA 98029-7404

Phone

(425) 391-3222

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Visual Consulting Corporation, IncGroup PAC ID 5799904439, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Visual Consulting Corporation, Inc

  • Optometrist
  • Issaquah, WA
  • NPI 1285758599
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1720163694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NE PARK DR",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980297404",
            "telephone_number": "425-391-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NE PARK DR",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980297404",
            "telephone_number": "425-391-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "SAMUEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Therapeutic Massage of Washington
• Sarah Remorca Agtarap, ARNP
• Joshua James Ahles, PHD
• Haejun Cecilia Ahn, MD
• Ilmo Ahn, D.C
• Samaa Aiad
• Carol Airone, LMHC
• Ken Micheal Akimoto, DDS
• Chiazor Akusoba, M.D.
• Alexandra Cristescu, D.D.S, P.L.L.C

• All providers in Issaquah, WA
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.