Broadway Vision Source in Seattle - Clinic/center
Broadway Vision Source - NPI 1780719807
Broadway Vision Source is a Clinic/center in Seattle, Washington. Broadway Vision Source practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Broadway Vision Source is 1780719807. The last update date is 2020-08-22.
Broadway Vision Source's current location address is Broadway Vision Source 301 A East Pike St., Seattle, Washington. You can contact this provider via phone number 2064640472 and fax number 2064640572. The mailing address for Broadway Vision Source is Broadway Vision Source 301 A East Pike St., Seattle, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broadway Vision Source |
|---|---|
| Address | Broadway Vision Source 301 A East Pike St., Seattle, Washington |
| Phone Number | 2064640472 |
| Fax Number | 2064640572 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTER |
|---|---|
| Authorized Official Name | Matsunami Michael |
| Credentials | O.D |
| Telephone Number | 2064640742 |
NPI Number Detail
| NPI Number | 1780719807 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Broadway Vision Source 301 A East Pike St. |
|---|---|
| City | Seattle |
| State | Washington (WA) |
| Post Code | 98122 |
| Phone Number | 2064640472 |
| Fax Number | 2064640572 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
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Definition: 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 |
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Post Comment/ Review Below
What is the unique identifier code issued to Broadway Vision Source by the Centers for Medicare & Medicaid Services (CMS)?
The Broadway Vision Source has been assigned the NPI (National Provider Identifier) 1780719807. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Broadway Vision Source's facilities are situated?
The facilities of Broadway Vision Source are physically located at the following address: Broadway Vision Source 301 A East Pike St., Seattle, WA, 98122.
What is Broadway Vision Source's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Broadway Vision Source is Clinic/center, and the taxonomy code that categorizes this field of expertise is 261Q00000X.
When was the Broadway Vision Source's 1780719807 issued?
The Broadway Vision Source's 1780719807 was issued on 2007-02-22.
As of what date was the information regarding Broadway Vision Source, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Broadway Vision Source, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
NPI Number: 1336142389
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