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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
DO 00002034 | WA | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | OPTICIAN DISPENSING LICENSE | DO 00002034 | 01 |
Street Address |
8718 S TACOMA WAY STE C |
City | LAKEWOOD |
State | WA |
Zip Code | 98499-4597 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Find all providers in zip 98499 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
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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 |
Find all providers in LAKEWOOD |
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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.