Provider Demographics
NPI:1629613146
Name:UMAN, ERICA (OD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:
Last Name:UMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:ARKISZEWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1101 MADISON ST STE 600
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1340
Mailing Address - Country:US
Mailing Address - Phone:206-215-2020
Mailing Address - Fax:
Practice Address - Street 1:1101 MADISON ST STE 600
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1340
Practice Address - Country:US
Practice Address - Phone:206-215-2020
Practice Address - Fax:206-215-2022
Is Sole Proprietor?:No
Enumeration Date:2019-11-07
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34457152W00000X
WAOD611324421152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAOD61132421OtherSTATE LICENSE