Organization
BROADWAY VISION SOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MATSUNAMI O.D (DOCTER)
(206) 464-0742
Entity
Organization
Contact information
Practice address
BROADWAY VISION SOURCE 301 A EAST PIKE ST., SEATTLE, WA 98122-3609
(206) 464-0472
(206) 464-0572
Mailing address
BROADWAY VISION SOURCE 301 A EAST PIKE ST., SEATTLE, WA 98122
(206) 464-0472
(206) 464-0572
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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