Provider Demographics
NPI:1356466932
Name:SOUND EYE AND LASER P.S.
Entity Type:Organization
Organization Name:SOUND EYE AND LASER P.S.
Other - Org Name:SOUND EYE AND LASER SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:AMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-622-2020
Mailing Address - Street 1:1229 MADISON ST
Mailing Address - Street 2:STE 1250
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3586
Mailing Address - Country:US
Mailing Address - Phone:206-622-2020
Mailing Address - Fax:206-223-1963
Practice Address - Street 1:1229 MADISON ST
Practice Address - Street 2:STE 1250
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3586
Practice Address - Country:US
Practice Address - Phone:206-622-2020
Practice Address - Fax:206-223-1963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANOT APPLICABLE261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8856838Medicare PIN