Provider Demographics
NPI:1093750325
Name:SISON, NERY C (OD)
Entity Type:Individual
Prefix:DR
First Name:NERY
Middle Name:C
Last Name:SISON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:14700 NE 8TH ST
Mailing Address - Street 2:STE 105
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-4115
Mailing Address - Country:US
Mailing Address - Phone:425-746-2122
Mailing Address - Fax:425-746-1588
Practice Address - Street 1:14700 NE 8TH ST
Practice Address - Street 2:STE 105
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-4115
Practice Address - Country:US
Practice Address - Phone:425-746-2122
Practice Address - Fax:425-746-1588
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA1678152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist