Provider Demographics
NPI:1093824450
Name:DAY, LINDA ELIZABETH
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:ELIZABETH
Last Name:DAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2914 S ALDER ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-4819
Mailing Address - Country:US
Mailing Address - Phone:206-212-2100
Mailing Address - Fax:206-212-2194
Practice Address - Street 1:29877 TELEGRAPH RD STE 100
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-7658
Practice Address - Country:US
Practice Address - Phone:248-352-2806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00034777207W00000X
MI4301115780207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0870427OtherCHW GAU DSHS
WA337240500OtherUS POSTAL SERVICE GROUP #
WA8232241Medicaid
WA91162803298003A007OtherTRICARE/WPS FEDERAL WAY #
WAP00179853OtherRAILROAD MEDICARE INDIVID
WA131065OtherL&I INDIVIDUAL NUMBER
WA4973DAOtherREGENCE AUBURN RYDER #
WA7080781Medicaid
WA6799DAOtherREGENCE FEDERAL WAY RYDER
WA91162803298166A004OtherTRICARE/WPS BURIEN RYDER#
WA91162803298002A008OtherTRICARE/WPS AUBURN RYDER#
WACD6646OtherRAILROAD MEDICARE GROUP #
WA0059459OtherL&I GROUP NUMBER
WA911628032OtherBLUE CROSS PREMERA GROUP
WA0870427OtherAETNA GROUP NUMBER
WA2145DAOtherREGENCE BURIEN RYDER #
WA0870427OtherAETNA GROUP NUMBER
WA0870427OtherCH{W GAU DSHS
WA6799DAOtherREGENCE FEDERAL WAY RYDER