Individual
DR. STEVEN E ERIKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
16528 CLEVELAND ST, SUITE I, REDMOND, WA 98052-4460
(425) 885-1974
(425) 882-7818
Mailing address
16528 CLEVELAND ST, SUITE I, REDMOND, WA 98052-4460
(425) 885-1974
(425) 882-7818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD 0001073
WA
152WC0802X
Corneal and Contact Management Optometrist
OD 0001073
WA
152WP0200X
Pediatric Optometrist
OD 0001073
WA
152WS0006X
Sports Vision Optometrist
OD 0001073
WA
152WX0102X
Occupational Vision Optometrist
OD 0001073
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2258309
—
WA
01
—
G000101484
MEDICARE LEGACY PROVIDER NUMBER
WA
Enumeration date
10/05/2006
Last updated
08/14/2009
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