1215153259 NPI number — CLEARVIEW EYE AND LASER, PLLC

Table of content: MRS. SARAH CARPENTER MS, LMHC (NPI 1306395801)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215153259 NPI number — CLEARVIEW EYE AND LASER, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CLEARVIEW EYE AND LASER, PLLC
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:
WEST SEATTLE HIGHLINE EYE CLINIC, LLP
Provider Other Organization Name Type Code:
4
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:
1215153259
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/15/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7520 35TH AVE SW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98126-3228
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-937-9600
Provider Business Mailing Address Fax Number:
206-937-4088

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7520 35TH AVE SW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98126-3228
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-937-9600
Provider Business Practice Location Address Fax Number:
206-937-4088
Provider Enumeration Date:
04/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
COOMES
Authorized Official First Name:
LOUISE
Authorized Official Middle Name:
Authorized Official Title or Position:
CONTROLLER
Authorized Official Telephone Number:
206-937-9600

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  603260547 , 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: 7072044 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: CH7146 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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