Provider Demographics
NPI:1073832671
Name:KARIN L. MA, O.D., P.S.
Entity Type:Organization
Organization Name:KARIN L. MA, O.D., P.S.
Other - Org Name:TUKWILA EYECARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:917-359-9038
Mailing Address - Street 1:13626 33RD DR SE
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-4665
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17250 SOUTHCENTER PKWY STE 128
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-3351
Practice Address - Country:US
Practice Address - Phone:206-575-6623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-21
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAWA4099TX152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty