National Provider Identifier Database

STEPHAN L CASSIDY, OD – NPI #1679630867
Optometrist

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 systemic conditions affecting the eye.


Contact Information

STEPHAN L CASSIDY, OD
450 NW GILMAN BLVD
STE 104
ISSAQUAH, WA98027-2483
Phone: 425-392-8756
Fax: 425-391-8631
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for STEPHAN L CASSIDY

NPI Number 1679630867
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/03/2007
Last updated 12/19/2007 - About 18 years ago
Sole proprietor1 No
Identifiers
  • WA License #: 3190
  • WA Medicaid: 2028686
Hospital affiliation n/a

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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