| |
15153 5th Ave Sw, Burien, WA 98166-3072 | |
(800) 340-3595 | |
(855) 929-1515 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 15153 5th Ave Sw, Burien, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538238043 | NPI | - | NPPES |
59460 | Other | WA | L&I |
7080781 | Medicaid | WA | |
P04799 | Other | WA | PCMB |
2017242 | Medicaid | WA | |
EV8144 | Other | WA | KCM |
0870427 | Other | WA | AETNA |
891451 | Other | WA | CRIME VICTIMS |
WA0527 | Other | WA | NBN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
15153 5th Ave Sw, Burien, WA 98166-3072 Ph: (206) 212-2100 | 15153 5th Ave Sw, Burien, WA 98166-3072 Ph: (800) 340-3595 |