| Broadway Vision Source | |
|
Broadway Vision Source 301 A East Pike St. Seattle WA 98122-3609 | |
| (206) 464-0472 | |
| (206) 464-0572 |
| Full Name | Broadway Vision Source |
|---|---|
| Speciality | Clinic/center |
| Location | Broadway Vision Source 301 A East Pike St., Seattle, Washington |
| Authorized Official Name and Position | Michael Matsunami (DOCTER) |
| Authorized Official Contact | 2064640742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Vision Source Broadway Vision Source 301 A East Pike St. Seattle WA 98122 Ph: (206) 464-0472 | Broadway Vision Source Broadway Vision Source 301 A East Pike St. Seattle WA 98122-3609 Ph: (206) 464-0472 |
| NPI Number | 1780719807 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780719807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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