DR. JUSTIN KIM (NPI# 1811353857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811353857 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN KIM |
| Other Name | TAE HAN KIM |
| Credential | O.D |
| Practice Address |
1350 Galaxy Dr Ne Lacey WA 98516-4757 |
| Mailing Address |
4204 153rd Ave Se Bellevue WA 98006-1782 |
| Practice Telephone | 3609180449 |
| Mailing Telephone | 6232106700 |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD60595581 | WA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619421666 | Justin Howoong Kim | Acupuncturist | 13 Overlook Trl, Apt.1323, Peabody, MA 01960-3895 | 2016-08-08 |
| 1114348265 | Justin E Kim | Dentist | 11140 Mesquite Ave, Loma Linda, CA 92354-6556 | 2013-12-16 |
| 1336308451 | Justin Jungchul Kim | Acupuncturist | 15132 S Western Ave, Gardena, CA 90249-4313 | 2008-06-04 |
| 1043489248 | Justin Taehwan Kim | Surgery | 7500 Kirby Dr, #1523, Houston, TX 77030-4300 | 2008-02-21 |
| 1194718114 | Justin M Kim | Optometrist | 130 Norris Ln, Boerne, TX 78006-2893 | 2005-08-24 |
| 1043810674 | Justin Kim | Social Worker | 426 Atlantic Ave, East Rockaway, NY 11518-1431 | 2020-11-01 |
| 1447858766 | Justin Yunouk Kim | Dentist | 301 E Buena Vista St, Barstow, CA 92311-2803 | 2020-10-09 |
| 1427669290 | Justin Kim | Dentist | 12218 Apple Valley Rd Ste 110, Apple Valley, CA 92308-1704 | 2020-08-13 |
| 1194383950 | Justin Kim | Behavior Technician | 505 E Commonwealth Ave, Fullerton, CA 92832-4009 | 2019-06-05 |
| 1386128437 | Justin Sungmin Kim | Registered Nurse | 900 23rd St Nw, Washington, DC 20037-2342 | 2018-09-24 |
| Street Address |
1350 GALAXY DR NE |
| City | LACEY |
| State | WA |
| Zip Code | 98516-4757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
| 1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
| 1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
| 1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
| 1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
| 1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
| 1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
| 1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
| 1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
| Find all providers in zip 98516 | ||||
| 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 |
|---|---|---|---|---|
| 1902910946 | Heather L Muehler | Optometrist | 345 College Street Se, Suite C, Lacey, WA 98503-1014 | 2006-08-18 |
| 1720021330 | Craig Rouse | Optometrist | 8160 Freedom Ln Ne, Suite D, Lacey, WA 98516-4753 | 2006-06-13 |
| 1033161419 | Shopko Stores Operating Co. LLC | Optometrist | 5500 Martin Way E, Lacey, WA 98516-6326 | 2006-05-16 |
| 1437113230 | Constance Howe | Optometrist | 2539 Marvin Rd Ne, Suite B, Lacey, WA 98516 | 2006-04-17 |
| 1215924923 | Carrie Leann Watters | Optometrist | 2539 Marvin Rd. Ne Suite B, Lacey, WA 98516 | 2005-09-29 |
| 1447725064 | Hoang Vy Ha | Optometrist | 700 Sleater Kinney Rd Se, Lacey, WA 98503 | 2018-10-10 |
| 1871040576 | Tedd Louie, Od, LLC | Optometrist | 1470 Marvin Rd Ne, Lacey, WA 98516-3870 | 2016-09-09 |
| 1356724009 | Aron Piranio | Optometrist | 2539 Marvin Rd Ne, Suite B, Lacey, WA 98516-3177 | 2015-06-30 |
| 1457762536 | Dr Joseph Glandon LLC | Optometrist | 1401 Galaxy Dr Ne, Lacey, WA 98516-4746 | 2014-05-12 |
| 1861766040 | Oikos Eye Care, Inc. | Optometrist | 1470 Marvin Rd Ne, Located Inside Costco, Lacey, WA 98516-3870 | 2012-03-06 |
| Find all providers in LACEY | ||||
Please comment or provide details below to improve the information on DR. JUSTIN KIM.
| 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.