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MICHAEL ERICKSON O.D. NPI 1568799062


NPI Information

NPI: 1568799062
Provider Name: MICHAEL ERICKSON, O.D.

Doing Business As: LAKEMONT EYE CARE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
4957 LAKEMONT BLVD SE
SUITE C-5
BELLEVUE, WA
ZIP 98006
Phone: (425) 746-0908
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MICHAEL ERICKSON, O.D. is a clinic center in Bellevue, 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). MICHAEL ERICKSON, O.D. NPI is 1568799062. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakemont Eye Care.

The provider's business location address is:

4957 LAKEMONT BLVD SE
SUITE C-5
BELLEVUE, WA
ZIP 98006-801
Phone: (425) 746-0908
Fax: (815) 346-3499

The provider's authorized official is Michael Dennis Erickson .
The authorized official title is Optometrist/owner and has the following contact phone number (425) 746-0908.

The enumeration date for this NPI number is 11/5/2009 and was last updated on 11/5/2009.


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/CenterOD00003260WASHINGTONYes

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: 11/14/2023

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