MR. TAE H BAE


Address: 8718 S Tacoma Way Ste C, Lakewood, WA 98499-4597
Phone: 2533012358

MR. TAE H BAE (NPI# 1508231044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508231044
Entity Type Individual
Full Name MR. TAE H BAE
Other Name JOHN T BAE
Credential DO
Practice Address 8718 S Tacoma Way Ste C
Lakewood
WA 98499-4597
Practice Telephone 2533012358
Mailing Telephone 2533012358
Enumeration Date 2015-12-09
Last Update Date 2015-12-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
DO 00002034 WA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA OPTICIAN DISPENSING LICENSE DO 00002034 01

Office Location

Street Address 8718 S TACOMA WAY STE C
City LAKEWOOD
State WA
Zip Code 98499-4597

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1275159592 Sea Mar Community Health Centers Clinic/Center 5700 100th Street Se, Suite 510, Lakewood, WA 98499 2020-06-23
1568018828 Heather Leigh Andrade Behavioral Analyst 6210 75th St W Ste 100, Lakewood, WA 98499 2019-08-13
1043870876 Seoul Chinese Herbs Inc Acupuncturist 8705 S. Tacoma Way, Lakewood, WA 98499 2019-06-14
1013572064 Puget Sound Kidney Centers Clinic/Center 11950 47th Ave Sw, Lakewood, WA 98499 2019-05-06
1447736657 Marcela Cunan Counselor 9330 59th Avenue Southest, Lakewood, WA 98499 2018-07-11
1609382381 Leroy Moore IIi Counselor 8811 S. Tacoma Way, 106, Lakewood, WA 98499 2017-12-18
1578077657 Andrea Gaston Behavior Technician 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 2017-11-27
1609389931 Jennifer King Social Worker 5900 100th St Sw Ste 17b, Lakewood, WA 98499 2017-11-08
1750806337 Wonyoung Lee Counselor 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 2017-08-04
1043749443 Frederick Paltron Edwards Counselor 9500 Front Street, Suite 100, Lakewood, WA 98499 2017-06-08
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003315417 Cvs Aoc Corporation Technician/Technologist 5505 Carson St # 8878, Lakewood, CA 90713-3004 2018-02-12
1437665783 Cvs Aoc Corporation Technician/Technologist 4909 Paramount Blvd # 5014, Lakewood, CA 90712-2903 2017-12-22
1427588011 National Vision, Inc. Technician/Technologist 4429 Candlewood St, Lakewood, CA 90712-1736 2017-06-15
1417309535 Lawrence Klapper Technician/Technologist 398 Clifton Ave, Lakewood, NJ 08701-3269 2016-07-13
1306247614 Jacob Klein Technician/Technologist 1703 Clifton Ave, Lakewood, NJ 08701-1202 2014-09-07
1003237835 Jennifer H Truong Technician/Technologist 11421 Carson St Ste D, Lakewood, CA 90715-2500 2013-12-20
1649502956 Jeffrey Abramowitz Technician/Technologist 222 River Ave, Lakewood, NJ 08701-4807 2010-02-11
1548401763 Esther M Blumenkrantz Technician/Technologist 30 Gefen Dr, Lakewood, NJ 08701-3596 2009-03-18
1528253358 Robert Charles Michnoff Technician/Technologist 6 West Spruce Street, Vision Eyewear, Lakewood, NJ 08701-5007 2007-09-14
1639234420 Wal-mart Stores, Inc. Technician/Technologist 7001 Bridgeport Way West, Lakewood, WA 98499 2006-12-22
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Competitor

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City LAKEWOOD
Zip Code 98499

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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