Organization
SEA FAMILY VISION CLINIC, PLLC
Active
Other names
Family Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAVATEI SUSAN SEA OD (OWNER)
(206) 940-0723
Entity
Organization
Contact information
Practice address
21005 44TH AVE W STE 102, MOUNTLAKE TERRACE, WA 98043-3584
(425) 775-7144
(425) 673-7885
Mailing address
21005 44TH AVE W STE 102, MOUNTLAKE TERRACE, WA 98043-3584
(425) 775-7144
(425) 673-7885
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2010382
—
WA
Enumeration date
10/12/2021
Last updated
10/12/2021
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