Provider Demographics
NPI:1619033214
Name:ISLAND EYE PHYSICIANS & SURGEONS
Entity Type:Organization
Organization Name:ISLAND EYE PHYSICIANS & SURGEONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:360-293-2020
Mailing Address - Street 1:1213 24TH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-2587
Mailing Address - Country:US
Mailing Address - Phone:360-293-2020
Mailing Address - Fax:360-299-0341
Practice Address - Street 1:1213 24TH ST STE 300
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-2587
Practice Address - Country:US
Practice Address - Phone:360-293-2020
Practice Address - Fax:360-299-0341
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ISLAND EYE PHYSICIANS & SURGEONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-28
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0282730001Medicare ID - Type UnspecifiedDURABLE MEDICAL EQUIPMENT