Healthcare Provider Details

I. General information

NPI: 1487780623
Provider Name (Legal Business Name): HELENA AHN O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HELENA CHUN O.D.

II. Dates (important events)

Enumeration Date: 02/24/2007
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17432 SE 270TH PL
COVINGTON WA
98042-4962
US

IV. Provider business mailing address

22101 NE 10TH PL
SAMMAMISH WA
98074-6863
US

V. Phone/Fax

Practice location:
  • Phone: 253-630-8718
  • Fax: 253-630-8720
Mailing address:
  • Phone: 425-941-4434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3387TX
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: