Organization
AESTHETIC EYE ASSOCIATES AMBULATORY SURGERY CENTER PLLC
Active
Parent organization
AESTHETIC EYE ASSOCIATES PS
Organization subpart
Yes
Provider details
NPI number
Legal business name
AESTHETIC EYE ASSOCIATES PS
Authorized official
JANET JORDAN (ADMINISTRATOR)
(425) 216-7200
Entity
Organization
Contact information
Practice address
625 4TH AVE, STE 301, KIRKLAND, WA 98033-9028
(425) 216-7200
(425) 216-7272
Mailing address
625 4TH AVE, SUITE 302, KIRKLAND, WA 98033-9028
(425) 216-7200
(425) 216-7272
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8905884
PTAN
WA
Enumeration date
07/21/2006
Last updated
06/19/2013
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