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Contact Information

SETH BRUINSMA, OD
10002 SE 240TH ST
KENT, WA98031-4839
 Phone: 253-852-2020
 Fax: 253-854-2020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SETH BRUINSMA · (Male)

NPI Number 1013116144
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/18/2007
Last updated 05/30/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WA License # OD00004151
  • WA Medicaid 2016991
  • WA Other 0292254 LABOR & INDUSTRIES
  • WA Other 0992BR REGENCE
  • WA Other 0993BR REGENCE
  • WA Other 0994BR REGENCE
  • WA Other 1091BR REGENCE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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