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DR. JUDITH EUNJUNG OH OD NPI 1417911363


NPI Information

NPI: 1417911363
Provider Name: DR. JUDITH EUNJUNG OH, OD
Classification: Optometrist - 152W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2914 S ALDER ST
TACOMA, WA
ZIP 98409
Phone: (253) 272-9245
Get Directions

DR. Judith Eunjung Oh, OD is an optometrist in Tacoma, WA with 19 years of experience. The provider is 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. DR. Judith Eunjung Oh, OD NPI is 1417911363. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2914 S ALDER ST
TACOMA, WA
ZIP 98409-819
Phone: (253) 272-9245
Fax: (253) 272-9413

The NPI 1417911363 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/15/2006 and was last updated on 5/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristOD00004014WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OD409WAOTHERALASKAALASKA MEDICAID
2P00407154OTHERWASHINGTONRAILROAD MEDICARE
31016897OTHERWASHINGTONFIRST HEALTH
4749912OTHERWASHINGTONAETNA
51016897OTHERWASHINGTONCOVENTRY HEALTH CARE
62032522MEDICAIDWASHINGTON
73985872OTHERWASHINGTONCIGNA
8216087OTHERWASHINGTONLABOR & INDUSTRIES
9QMP000003361514OTHERWASHINGTONMOLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.