1134323090 NPI number — SOUNDVIEW EYECARE INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134323090 NPI number — SOUNDVIEW EYECARE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUNDVIEW EYECARE INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134323090
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/05/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3670A BRIDGEPORT WAY W
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
UNIVERSITY PLACE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98466-4413
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
253-473-2215
Provider Business Mailing Address Fax Number:
253-471-8892

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3670A BRIDGEPORT WAY W
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UNIVERSITY PLACE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98466-4413
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-473-2215
Provider Business Practice Location Address Fax Number:
253-471-8892
Provider Enumeration Date:
06/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
OLAND
Authorized Official First Name:
CURT
Authorized Official Middle Name:
JAMES
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
253-473-2215

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  3146TX , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: WA05565 . This is a "MEDICARE EDI SUBMITTER NU" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: OL0998 . This is a "REG PROVIDER" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com