Provider Demographics
NPI:1235444860
Name:TANMIR INC
Entity Type:Organization
Organization Name:TANMIR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GILA
Authorized Official - Middle Name:S
Authorized Official - Last Name:LEHRER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-453-9691
Mailing Address - Street 1:700 110TH AVE NE
Mailing Address - Street 2:SUITE 255
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004
Mailing Address - Country:US
Mailing Address - Phone:425-453-9691
Mailing Address - Fax:425-453-9812
Practice Address - Street 1:700 110TH AVE NE
Practice Address - Street 2:SUITE 255
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004
Practice Address - Country:US
Practice Address - Phone:425-453-9691
Practice Address - Fax:425-453-9812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-06
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA601509180152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty