Ken C Hwahn, O.D. P.S.

Primary specialty

OptometristTaxonomy code 152W00000X

License

00001720 Issued in WA

Legal business name

KEN C HWAHN, O.D. P.S.

Practice address

416 Southcenter Mall
Tukwila, WA 98188-2811

Phone

(206) 431-8770

Fax

(206) 243-2027

NPI assigned

Mar 22, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Kari Lynn Brown

Title

Office Manager

Phone

(206) 431-8770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1891226700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 SOUTHCENTER MALL",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882811",
            "telephone_number": "206-431-8770",
            "fax_number": "206-243-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 SOUTHCENTER MALL",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882811",
            "telephone_number": "206-431-8770",
            "fax_number": "206-243-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN C HWAHN, O.D. P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "206-431-8770",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "00001720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Madeline Rose Kennedy
• Robin Kenning, ARNP
• Selena Kanga Alana Keo
• Victor Keodalah

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.