Cascade Family Eye Care, Pllc

LBN: Cascade Family Eye Care, Pllc
Cascade Family Eye Care, Pllc is an health care organization with primary practice located at 9623 32Nd St Se Ste D121 , Lake Stevens WA 98258-5780. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Cascade Family Eye Care, Pllc can be contacted via phone (425) 377-9747, or through Beazer, Roderick Blair via phone (801) 623-1390.

Contact Information

Primary practice address
9623 32Nd St Se Ste D121 Lake Stevens WA 98258-5780
Fax: (425) 377-8757
Website:
Authorized official contact:
Name: Beazer, Roderick Blair Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2085 Washington
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1053349613
LBN Legal business name Cascade Family Eye Care, Pllc
DBA Doing business as
Authorized official Beazer, Roderick Blair Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2006
Last updated Oct 28th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053349613 NPPES
Washington Other 1024797 MEDICAID DOMAIN #
Washington MEDICAID 2031821 MEDICAID DOMAIN #

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