Active NPI
Eunkook Daniel Kim, O.D.
- Optometrist
- Federal Way, WA
National Provider Identifier
1982853180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD60035066
- Practice address
- 34520 16TH Ave S
Federal Way, WA 98003-6802 - Phone
- (253) 835-9162
- NPI assigned
- Sep 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD60035066 | WA | Primary |
Addresses
Primary practice location
34520 16TH Ave S
Federal Way, WA 98003-6802
Mailing address
703 SW 363Rd CT
Federal Way, WA 98023-7294
Phone (253) 334-4461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD60035066 | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1982853180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 SW 363RD CT",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980237294",
"telephone_number": "253-334-4461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34520 16TH AVE S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036802",
"telephone_number": "253-835-9162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "EUNKOOK",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-11",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD60035066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.