Rainier Valley Optometric

LBN: Rainier Valley Optometric, Inc
Rainier Valley Optometric is an health care organization with primary practice located at 7101 Martin Luther King Jr Way S #209, Seattle WA 98118-3594. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Rainier Valley Optometric, Inc can be contacted via phone (206) 722-2218, or through Ton-Susilasate, Fawzidah via phone (206) 722-2218.

Contact Information

Primary practice address
7101 Martin Luther King Jr Way S #209 Seattle WA 98118-3594
Phone: (206) 722-2218
Fax: (206) 722-2211
Website:
Map and Directions
Authorized official contact:
Name: Ton-Susilasate, Fawzidah
Phone: (206) 722-2218

Health care specialties

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

Profile Details

NPI number 1447391669
LBN Legal business name Rainier Valley Optometric, Inc
DBA Doing business as Rainier Valley Optometric
Authorized official Ton-Susilasate, Fawzidah
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated May 18th, 2017 - about 8 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 1447391669 NPPES
Washington MEDICAID 2029262

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