Provider Demographics
NPI:1790349249
Name:YAKIMA EYE SPCIALISTS
Entity Type:Organization
Organization Name:YAKIMA EYE SPCIALISTS
Other - Org Name:FIGGS EYE CLINIC, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-453-2010
Mailing Address - Street 1:1410 LAKESIDE CT STE 103
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-7305
Mailing Address - Country:US
Mailing Address - Phone:509-453-2010
Mailing Address - Fax:509-225-6421
Practice Address - Street 1:1410 LAKESIDE CT STE 103
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-7305
Practice Address - Country:US
Practice Address - Phone:509-453-2010
Practice Address - Fax:509-225-6421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty