Silverdale Eye Mds Ps

LBN: Silverdale Eye Mds Ps
Silverdale Eye Mds Ps is an health care organization with primary practice located at 9399 Ridgetop Blvd Nw Suite A, Silverdale WA 98383-9370. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Silverdale Eye Mds Ps can be contacted via phone (360) 337-2015, or through Rico, Alexander Glen via phone (360) 337-2015.

Contact Information

Primary practice address
9399 Ridgetop Blvd Nw Suite A Silverdale WA 98383-9370
Phone: (360) 337-2015
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rico, Alexander Glen Doctor of Medicine (MD)
Phone: (360) 337-2015

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00026496 Washington

Profile Details

NPI number 1538498886
LBN Legal business name Silverdale Eye Mds Ps
DBA Doing business as
Authorized official Rico, Alexander Glen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2009
Last updated Feb 4th, 2011 - about 14 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 1538498886 NPPES
Washington MEDICAID 88113573

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