Provider Demographics
NPI:1407971187
Name:310 VISION
Entity Type:Organization
Organization Name:310 VISION
Other - Org Name:SEATTLE EYEWER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MEUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:206-784-0700
Mailing Address - Street 1:1701 NW MARKET ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-5225
Mailing Address - Country:US
Mailing Address - Phone:206-784-0700
Mailing Address - Fax:206-706-8822
Practice Address - Street 1:1701 NW MARKET ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-5225
Practice Address - Country:US
Practice Address - Phone:206-784-0700
Practice Address - Fax:206-706-8822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADOOOOOO749156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty