1073271797 NPI number — SIGHT PARTNERS PHYSICIANS, P.C.

Table of content: (NPI 1073271797)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073271797 NPI number — SIGHT PARTNERS PHYSICIANS, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SIGHT PARTNERS PHYSICIANS, P.C.
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:
6
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:
1073271797
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/10/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
SIGHT PARTNERS PHYSICIANS PC
Provider Second Line Business Mailing Address:
PO BOX 35111
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98124-5111
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-528-6000
Provider Business Mailing Address Fax Number:
206-858-7050

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21906 76TH AVE W
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EDMONDS
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98026-7902
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-733-9904
Provider Business Practice Location Address Fax Number:
425-673-3993
Provider Enumeration Date:
11/30/2021

Additional Information

Authorized Official

Authorized Official Last Name:
MICHAEL
Authorized Official First Name:
SPENCER
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
206-528-6000

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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