Provider Demographics
NPI:1629630983
Name:SEE SAW EYECARE PLLC
Entity Type:Organization
Organization Name:SEE SAW EYECARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:IWONA
Authorized Official - Middle Name:MILTKO
Authorized Official - Last Name:DONG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:253-201-2515
Mailing Address - Street 1:24416 104TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-4969
Mailing Address - Country:US
Mailing Address - Phone:253-201-2515
Mailing Address - Fax:253-479-0104
Practice Address - Street 1:24416 104TH AVE SE
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-4969
Practice Address - Country:US
Practice Address - Phone:253-201-2515
Practice Address - Fax:253-479-0104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-07
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Multi-Specialty
No152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Multi-Specialty