Ballard Optometry, PLLC
Optometrist in Seattle, WA. Organization (NPI-2).
NPI number1629658331
StatusActive
Last updated in NPPESApr 8, 2021
Details
- NPI
- 1629658331
- Entity type
- Organization (NPI-2)
- Legal business name
- Ballard Optometry, PLLC
- Organization subpart
- No
- Enumeration date
- Apr 8, 2021
- Certification date
- Apr 8, 2021
- Last updated
- Apr 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Ballard Optical (Doing Business As)
Practice location
1719 Nw Market StSeattle, WA 98107-5225
Phone 206-784-2090
Mailing address
1719 Nw Market StSeattle, WA 98107-5225
Phone 206-784-2090
Authorized official
Harshani Buddika Amaraweera
Owner
2069103838
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