Organization Active NPI

Michael H Tam

  • Optometrist
  • Tukwila, WA
National Provider Identifier
1760502041
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3507TX Issued in WA
Legal business name
MICHAEL H TAM
Practice address
400 Southcenter Mall
The Sears Building
Tukwila, WA 98188-2811
Phone
(425) 876-4868
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Michael Tam, OD
Title
Optometrist
Phone
(425) 876-4868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3507TX WA Primary

Addresses

Primary practice location

400 Southcenter Mall
The Sears Building
Tukwila, WA 98188-2811

Mailing address

3405 Park Ave N
Renton, WA 98056-1914

National Provider Directory

National Provider Directory

Locations

400 Southcenter Mall
Tukwila, WA 98188
Phone (425) 876-4868

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1760502041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 PARK AVE N",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980561914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SOUTHCENTER MALL",
            "address_2": "THE SEARS BUILDING",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882811",
            "telephone_number": "425-876-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL H TAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "TAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "425-876-4868",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3507TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.