Organization
EYE ASSOCIATES NORTHWEST, PLLC
Active
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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