Provider Demographics
NPI:1841448073
Name:DR. YOUSIM CHHIM LLC
Entity type:Organization
Organization Name:DR. YOUSIM CHHIM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YOUSIM
Authorized Official - Middle Name:
Authorized Official - Last Name:CHHIM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:206-420-3502
Mailing Address - Street 1:9985 8TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106
Mailing Address - Country:US
Mailing Address - Phone:206-420-3502
Mailing Address - Fax:
Practice Address - Street 1:9985 8TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98106
Practice Address - Country:US
Practice Address - Phone:206-420-3502
Practice Address - Fax:206-504-7641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-29
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00004068152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2033884Medicaid