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BROADWAY VISION SOURCE NPI 1780719807


NPI Information

NPI: 1780719807
Provider Name: BROADWAY VISION SOURCE
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
BROADWAY VISION SOURCE 301 A EAST PIKE ST.
SEATTLE, WA
ZIP 98122
Phone: (206) 464-0472
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BROADWAY VISION SOURCE is a clinic center in Seattle, WA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BROADWAY VISION SOURCE NPI is 1780719807. The provider is registered as an organization entity type.

The provider's business location address is:

BROADWAY VISION SOURCE 301 A EAST PIKE ST.
SEATTLE, WA
ZIP 98122-609
Phone: (206) 464-0472
Fax: (206) 464-0572

The provider's authorized official is Michael Matsunami .
The authorized official title is Docter and has the following contact phone number (206) 464-0742.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.