Provider Demographics
NPI:1699774844
Name:YANG-WILLIAMS, KATHERINE CHIA-HSIN (OD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:CHIA-HSIN
Last Name:YANG-WILLIAMS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9706 4TH AVE NE
Mailing Address - Street 2:STE 100
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-2199
Mailing Address - Country:US
Mailing Address - Phone:206-527-2987
Mailing Address - Fax:206-527-1208
Practice Address - Street 1:7001 ROOSEVELT WAY NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115
Practice Address - Country:US
Practice Address - Phone:206-527-2987
Practice Address - Fax:206-526-8076
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD00003285152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2020865Medicaid
WA2020865Medicaid
WAAB13901Medicare ID - Type UnspecifiedSEATTLE CLINIC
WAAB12420Medicare ID - Type UnspecifiedSMOKEY POINT CLINIC