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1083915532 NPI number — WENDY KUO-EVELAND O.D.

NPI Number: 1083915532
Health Care Provider/Practitioner: WENDY KUO-EVELAND O.D.

Information about “1083915532” NPI (WENDY KUO-EVELAND O.D.) exists in 1083915532 in HTML format HTML  |  1083915532 in plain Text format TXT  |  1083915532 in PDF (Portable Document Format) PDF  |  1083915532 in an XML format XML  formats.

NPI Number : 1083915532 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083915532",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KUO-EVELAND",
    "FirstName": "WENDY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "O.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KUO",
    "OtherFirstName": "CHI-WEN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "O.D.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "4575 NE 4TH ST STE 2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RENTON",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98059-5054",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "425-970-3230",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4575 NE 4TH ST STE 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RENTON",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98059-5054",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "425-970-3230",
    "PracticeLocationAddressFaxNumber": "425-970-3533",
    "EnumerationDate": "11/14/2010",
    "LastUpdateDate": "02/19/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "OD601797790",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "60179790",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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