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Contact Information

CASCADE FAMILY EYE CARE, PLLC
9623 32ND ST SE STE D121
LAKE STEVENS, WA98258-5780
 Phone: 425-377-9747
 Fax: 425-377-8757
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CASCADE FAMILY EYE CARE, PLLC

NPI Number 1053349613
LBN Legal business name CASCADE FAMILY EYE CARE, PLLC
Authorized official RODERICK BEAZER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2006
Last updated 10/28/2020 - About 6 years ago
Identifiers
WA License # 2085
WA Medicaid 2031821
WA Other 1024797 MEDICAID DOMAIN #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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