Provider Demographics
NPI:1720185481
Name:RUGGEIRO, CYNTHIA PIER (OD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:PIER
Last Name:RUGGEIRO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1906 PIKE PL
Mailing Address - Street 2:SUITE 8
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1055
Mailing Address - Country:US
Mailing Address - Phone:206-448-7739
Mailing Address - Fax:206-448-4924
Practice Address - Street 1:1906 PIKE PL
Practice Address - Street 2:SUITE 8
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1055
Practice Address - Country:US
Practice Address - Phone:206-448-7739
Practice Address - Fax:206-448-4924
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1878152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2017952Medicaid
WAU42497Medicare UPIN