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Contact Information

JON C CONVERSE INC PS
1905 4TH AVENUE
SEATTLE, WA98101
 Phone: 206-622-4828
 Fax: 504-910-0693
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JON C CONVERSE INC PS

NPI Number 1699841361
LBN Legal business name JON C CONVERSE INC PS
Authorized official JON CONVERSE - (PRESIDENT OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/27/2006
Last updated 11/27/2007 - About 19 years ago
Identifiers
WA Medicaid 2019255
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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