Eye Associates Northwest, PLLC
Eyewear Supplier (Equipment, not the service) in Seattle, WA. Organization (NPI-2).
NPI number1225005697
StatusActive
Last updated in NPPESJan 12, 2024
Details
- NPI
- 1225005697
- Entity type
- Organization (NPI-2)
- Legal business name
- Eye Associates Northwest, PLLC
- Organization subpart
- Yes
- Enumeration date
- Mar 3, 2006
- Certification date
- Jan 12, 2024
- Last updated
- Jan 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Other names
- Madison Avenue Optical (Doing Business As)
Practice location
1101 Madison StSte 600
Seattle, WA 98104-1306
Phone 206-215-2020 · Fax 206-386-2047
Mailing address
1101 Madison StSte 600
Seattle, WA 98104-1306
Phone 206-215-2020 · Fax 206-386-2047
Authorized official
Rosa A Campos
Credentialing Manager
2062152004
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