Kenneth Ross Macmahon, O.D.

Optometrist · Renton, WA

Individual Active NPI

NPI number 1538282959

Practice location

365 Renton Center Way SW
Suite D
Renton, WA 98055-2324
Phone
(425) 255-4630
Fax
(425) 255-4688

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NPI record

NPI
1538282959
Entity type
Individual (Type 1)
Enumeration date
April 9, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 3754 WA

Mailing address

4123 178TH Ln SE Apt 3
Bellevue, WA 98008-5986

About Dr. Macmahon

Kenneth Ross Macmahon, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 365 Renton Center Way SW, Suite D, Renton, WA 98055-2324. The NPI number 1538282959 was assigned on April 9, 2007 and the record was last updated on July 8, 2007.

Dr. Macmahon lists a license in the registry: #3754 (WA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth Ross Macmahon, O.D.?

The NPI number is 1538282959.

What is the phone number of Dr. Macmahon?

The phone number listed for the practice location is (425) 255-4630.

Where is Dr. Macmahon located?

365 Renton Center Way SW, Suite D, Renton, WA 98055-2324.

What is the taxonomy code for Dr. Macmahon?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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