Organization
EYE ASSOCIATES NORTHWEST, PLLC
Active
Other names
Eye Associates Northwest
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA ANGELICA CAMPOS (CREDENTIALING MANAGER)
(206) 215-2004
Entity
Organization
Contact information
Practice address
1101 MADISON ST STE 600, SEATTLE, WA 98104-1340
(206) 215-2020
(206) 215-2022
Mailing address
1101 MADISON ST, SUITE 600, SEATTLE, WA 98104-1306
(206) 215-2020
(206) 215-2022
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019625
—
WA
Enumeration date
04/20/2006
Last updated
01/04/2024
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