Eckroth, Kim P
Eckroth, Kim P is an individual health care provider with primary practice located at 8204 27Th St W , University Place WA 98466-2719. She recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Eckroth, Kim P can be contacted via phone (253) 564-9262.Contact Information
Primary practice address
8204 27Th St W
University Place WA 98466-2719
Phone: (253) 564-9262
Fax: (253) 564-0996
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00003986 | Washington |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OD00003986 | Washington |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | OD00003986 | Washington |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | OD00003986 | Washington |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | OD00003986 | Washington |
Profile Details
| NPI number | 1992777189 |
|---|---|
| LBN Legal business name | Eckroth, Kim P |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Dec 4th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992777189 | NPPES |
| Washington | MEDICAID | 2000784 |
Popular Providers
-
Varley, Richard W
508 W Chickasha Ave , Chickasha OK 73018-2412 -
Mothershed, Fred H
3353 N Gloster St , Tupelo MS 38804-9735 -
Anderson, Todd G
1700 Se Meadowbrook Blvd , College Place WA 99324-1798 -
Gunn, Anna Marie
5225 Cirque Dr W Suite 200, University Place WA 98467-3604 -
Beasley, Scott L
3800 Bridgeport Way W Suite A 358, University Place WA 98466-4495 -
Sude, Jerome
3510 Manchester Rd , Coventry Township OH 44319-1415 -
Smothers-Champley, Debra
900 W Springfield Rd , Taylorville IL 62568-1213 -
Oland, Curt James
3670A Bridgeport Way W , University Place WA 98466-4413