Organization
RANDI S MCMICHAEL OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDI SARA MCMICHAEL OD (OPTOMETRIST)
(425) 641-7482
Entity
Organization
Contact information
Practice address
15600 NE 8TH ST # F13A, BELLEVUE, WA 98008-3927
(425) 641-7482
(425) 505-2156
Mailing address
10422 28TH AVE SW, SEATTLE, WA 98146-1212
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
60686871
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902263742
1902263742
—
Enumeration date
10/10/2017
Last updated
03/17/2018
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