Organization
NORTHWEST GLAUCOMA AND CATARACT CONSULTANTS, LLC
Active
Other names
Northwest Glaucoma and Cataract Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WHITEHEAD M.D. (MEMBER/OWNER)
(206) 622-2020
Entity
Organization
Contact information
Practice address
1229 MADISON ST, SUITE 1250, SEATTLE, WA 98104-3586
(206) 622-2020
(206) 223-1963
Mailing address
1229 MADISON ST, SUITE 1250, SEATTLE, WA 98104-3586
(206) 622-2020
(206) 223-1963
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF.FS 60685668
WA
261QS0132X
Ophthalmologic Surgery Clinic/Center
ASF.FS 60685668
WA
Other
Enumeration date
09/15/2016
Last updated
11/18/2016
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