DR. JEONG-HUN SONG (NPI# 1811072028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811072028 |
| Entity Type | Individual |
| Full Name | DR. JEONG-HUN SONG |
| Credential | OD |
| Practice Address |
17 148th Ave Se Ste A Bellevue WA 98007 |
| Mailing Address |
Po Box 394 Bellevue WA 98009-0394 |
| Practice Telephone | 4256446478 |
| Practice Fax Number | 4256446476 |
| Mailing Telephone | 4256446478 |
| Mailing Fax Number | 4256446476 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2018-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD00004160 | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2033843 | 05 | |
| RAILROAD MEDICARE | P00312106 | 01 |
| Street Address |
17 148TH AVE SE STE A |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336320068 | Dr. J. Song, Optometrist, Inc. | Optometrist | 17 148th Ave Se, Ste A, Bellevue, WA 98007-5164 | 2007-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204947 | Janet Delgado | Interpreter | 3000 Landerholm Cir Se, Bellevue, WA 98007 | 2020-10-29 |
| 1467092643 | Stephanie Schaal | Counselor | 15395 Se 30th Place Ste 120, Bellevue, WA 98007 | 2020-01-15 |
| 1740824358 | Alison Elizabeth Campbell | Massage Therapist | 14575 Ne Bel Red Rd Ste 100, Bellevue, WA 98007 | 2019-11-06 |
| 1275188021 | Pacific Coast Health Care, Pllc | Internal Medicine | Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 | 2019-08-08 |
| 1417475054 | Terasak Roeksbutr | Dietitian, Registered | 109 146th Ave Se, Bellevue, WA 98007 | 2017-09-04 |
| 1083130934 | Po-lung Wu | Acupuncturist | 693 156th Ave Se, Bellevue, WA 98007 | 2017-08-22 |
| 1689117319 | Audrey K. Tatt D.d.s. P.l.l.c. | Dentist | 15419 Ne 20th St. #206, Bellevue, WA 98007 | 2016-11-29 |
| 1952751836 | Mona Ebrahimi | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st, Rainbow Creek, Bellevue, WA 98007 | 2016-06-21 |
| 1578939302 | Walgreen | Student in an Organized Health Care Education/Training Program | 15220 156th Ne, Bellevue, WA 98007 | 2015-08-17 |
| 1750767406 | Anar Veliyev | Physical Therapist | 14828 Ne 12th St, Bellevue, WA 98007 | 2015-08-05 |
| Find all providers in zip 98007 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667789 | Myeyedr Optometry of Ohio, LLC | Optometrist | 1355 W Main St Ste A, Bellevue, OH 44811-9082 | 2020-10-20 |
| 1245857044 | Minha Lee | Optometrist | 1468 158th Pl Ne, Bellevue, WA 98008-2782 | 2020-06-29 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1306337506 | Vision Care Center, Pllc | Optometrist | 14700 Ne 8th St Ste 105, Bellevue, WA 98007-4115 | 2018-05-23 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1043745839 | Harshani Buddika Amaraweera | Optometrist | 909 112th Ave Ne Apt 1005, Bellevue, WA 98004-8586 | 2017-04-28 |
| 1215471271 | Horizon Vision Clinic | Optometrist | 14150 Ne 20th St Ste E1, Bellevue, WA 98007-3700 | 2016-12-10 |
| 1407302003 | Kory Botelho | Optometrist | 14517 Ne 3rd St, Bellevue, WA 98007-4906 | 2016-09-01 |
| 1124473764 | Jacob Gilbar | Optometrist | 10670 Ne 29th St, Apt 87, Bellevue, WA 98004-2010 | 2016-05-02 |
| 1356750111 | Vida Kazempour Matanagh | Optometrist | 400 Bellevue Sq, Bellevue, WA 98004-5002 | 2014-08-06 |
| Find all providers in BELLEVUE | ||||
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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.