Individual
MILDA BANDZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6417 ROOSEVELT WAY NE STE 103, SEATTLE, WA 98115-6657
(206) 526-2020
Mailing address
10015 1ST AVE S, SEATTLE, WA 98168-1301
(440) 728-7882
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60476967
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OD60476967
STATE LICENSE
WA
Enumeration date
07/18/2014
Last updated
11/06/2025
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