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Contact Information

SEQUIM VISION CLINIC PS
541 NORTH 5TH AVENUE
SEQUIM, WA98382
 Phone: 360-683-3389
 Fax: 360-683-7069
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SEQUIM VISION CLINIC PS

NPI # 1700070158
LBN Legal business name SEQUIM VISION CLINIC PS
Authorized official DEE YOUNG - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2007
Last updated 08/28/2023 - About 3 years ago
Identifiers
WA License # 601357086
WA Other CS1723 RR MEDICARE GROUP ID#
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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