Provider Demographics
NPI:1346692241
Name:NORTHWEST GLAUCOMA AND CATARACT CONSULTANTS LLC
Entity Type:Organization
Organization Name:NORTHWEST GLAUCOMA AND CATARACT CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-740-2093
Mailing Address - Street 1:1229 MADISON ST STE 1250
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3568
Mailing Address - Country:US
Mailing Address - Phone:425-740-2093
Mailing Address - Fax:425-740-2944
Practice Address - Street 1:1229 MADISON ST STE 1250
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3568
Practice Address - Country:US
Practice Address - Phone:425-740-2093
Practice Address - Fax:425-740-2944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty