Doris Jin

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD61178912 Issued in WA

Practice address

1350 Galaxy Dr NE Ste D
Lacey, WA 98516-4757

Phone

(360) 918-0449

NPI assigned

Jun 8, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1891362844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 GALAXY DR NE STE D",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985164757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 GALAXY DR NE STE D",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985164757",
            "telephone_number": "360-918-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIN",
        "first_name": "DORIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61178912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny S. Jennings, CF-SLP
• Tommy Walter Jennings
• Abraham Wuseok Jeon, DO
• Theodore Basil Jerdes, LMP
• McKina May Jewell
• Xiaoqing Jin, MA 61324090
• Christa Jobb, LMP
• Ricky Lee Johansen Jr., PH.D.
• John P. Holland, MD, PC
• Aaron Micheal Johnson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.