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 |
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