Organization
SEATTLE VISION CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA W CHAN (MANAGER)
(206) 623-1100
Entity
Organization
Contact information
Practice address
677 S JACKSON ST, SEATTLE, WA 98104-2928
(206) 623-1100
(206) 624-0463
Mailing address
677 S JACKSON ST, SEATTLE, WA 98104-2928
(206) 623-1100
(206) 624-0463
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025778
DEPT OF LABOR & INDUSTRIE
WA
05
—
2019925
—
WA
Enumeration date
10/07/2005
Last updated
04/16/2010
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