Provider Demographics
NPI:1598997595
Name:JENNIFER KWOK O.D., INC.
Entity type:Organization
Organization Name:JENNIFER KWOK O.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:KWOK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:425-778-2611
Mailing Address - Street 1:4615 196TH ST SW
Mailing Address - Street 2:STE 170
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-3000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4615 196TH ST SW
Practice Address - Street 2:STE 170
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-3000
Practice Address - Country:US
Practice Address - Phone:206-246-0850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-10
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty