Provider Demographics
NPI:1669854022
Name:NORTH CASCADE EYE ASSOCIATES PS
Entity Type:Organization
Organization Name:NORTH CASCADE EYE ASSOCIATES PS
Other - Org Name:CASCADIA EYE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:SALDIVAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-416-6735
Mailing Address - Street 1:1110 12TH ST
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-2104
Mailing Address - Country:US
Mailing Address - Phone:360-293-9312
Mailing Address - Fax:360-299-3937
Practice Address - Street 1:1110 12TH ST
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-2104
Practice Address - Country:US
Practice Address - Phone:360-293-9312
Practice Address - Fax:360-299-3937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-22
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty