Provider Demographics
NPI:1467804864
Name:NG, BRITTANY KIM (OD)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:KIM
Last Name:NG
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 1:9709 3RD AVE NE FL 3
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-2062
Mailing Address - Country:US
Mailing Address - Phone:206-323-3937
Mailing Address - Fax:206-720-7437
Practice Address - Street 1:9709 3RD AVE NE FL 3
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-2062
Practice Address - Country:US
Practice Address - Phone:206-323-3937
Practice Address - Fax:206-720-7437
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-08
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60667801152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist