Provider Demographics
NPI:1437447968
Name:BELL, ELIZABETH S (OD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:S
Last Name:BELL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:R
Other - Last Name:SATCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1175 N 205TH ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-3206
Mailing Address - Country:US
Mailing Address - Phone:206-533-8170
Mailing Address - Fax:206-971-5068
Practice Address - Street 1:1175 N 205TH ST
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-3206
Practice Address - Country:US
Practice Address - Phone:206-533-8170
Practice Address - Fax:206-971-5068
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD 3440 TX152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist