Organization
EYE INSTITUTE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY VAUGHN SANDOVAL MD (OWNER)
(425) 606-1359
Entity
Organization
Contact information
Practice address
1301 4TH AVE NW, SUITE 200, ISSAQUAH, WA 98027-9371
(425) 606-1359
(425) 642-8290
Mailing address
1301 4TH AVE NW, SUITE 200, ISSAQUAH, WA 98027-9371
(425) 606-1359
(425) 642-8290
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00048106
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806458
—
AZ
01
—
A20739210
BCBS NUMBER
AZ
Enumeration date
05/29/2007
Last updated
04/25/2017
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