Wilbur Susilasate in Seattle - Optometrist
Wilbur Susilasate - NPI 1891783676
Wilbur Susilasate is a Optometrist in Seattle, Washington. Wilbur Susilasate practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Wilbur Susilasate is 1891783676. The last update date is 2022-07-14.
Wilbur Susilasate's current location address is 7101 Martin Luther King Jr Way S, Seattle, Washington. You can contact this provider via phone number 2067222218 and fax number 2067222211. The mailing address for Wilbur Susilasate is 7101 Martin Luther King Jr Way S, Seattle, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wilbur Susilasate |
|---|---|
| Address | 7101 Martin Luther King Jr Way S, Seattle, Washington |
| Phone Number | 2067222218 |
| Fax Number | 2067222211 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1891783676 |
|---|---|
| Provider Enumeration Date | 2005-10-06 |
| Last Updated Date | 2022-07-14 |
Provider Mailing Address Detail
| Address | 7101 Martin Luther King Jr Way S |
|---|---|
| City | Seattle |
| State | Washington (WA) |
| Post Code | 981183594 |
| Phone Number | 2067222218 |
| Fax Number | 2067222211 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OD 3608 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2029262 | WA | -- | |
| 2029528 | WA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Wilbur Susilasate?
The Wilbur Susilasate has been issued the NPI (National Provider Identifier) 1891783676 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Wilbur Susilasate is physically located?
The Wilbur Susilasate is situated at the following address: 7101 Martin Luther King Jr Way S, Seattle, WA 981183594.
What is Wilbur Susilasate's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Wilbur Susilasate is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
On what date did the Wilbur Susilasate receive its 1891783676 assignment from the Centers for Medicare & Medicaid Services?
The Wilbur Susilasate was assigned its 1891783676 by the Centers for Medicare & Medicaid Services on 2005-10-06.
When was the information related to Wilbur Susilasate most recently updated or refreshed?
The details pertaining to the Wilbur Susilasate, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-14.
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