Provider Demographics
NPI:1588609358
Name:SOGN, DONN A (OPTICIAN)
Entity type:Individual
Prefix:MR
First Name:DONN
Middle Name:A
Last Name:SOGN
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1536 N 115TH ST
Mailing Address - Street 2:#110
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-8401
Mailing Address - Country:US
Mailing Address - Phone:206-363-6003
Mailing Address - Fax:206-363-6004
Practice Address - Street 1:1536 N 115TH ST
Practice Address - Street 2:#110
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8401
Practice Address - Country:US
Practice Address - Phone:206-363-6003
Practice Address - Fax:206-363-6004
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA388156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician