Provider Demographics
NPI:1205377520
Name:BURIEN FAMILY EYE CARE, PLLC
Entity Type:Organization
Organization Name:BURIEN FAMILY EYE CARE, PLLC
Other - Org Name:BURIEN FAMILY EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAVATEI
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:SEA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:206-242-3880
Mailing Address - Street 1:916 SW 152ND ST
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166
Mailing Address - Country:US
Mailing Address - Phone:206-242-3880
Mailing Address - Fax:206-858-6929
Practice Address - Street 1:916 SW 152ND ST
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166
Practice Address - Country:US
Practice Address - Phone:206-242-3880
Practice Address - Fax:206-858-6929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA600T816152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty