Provider Demographics
NPI:1891806774
Name:VIRK, SARBJIT SINGH (OD)
Entity Type:Individual
Prefix:DR
First Name:SARBJIT
Middle Name:SINGH
Last Name:VIRK
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 RICHARDS RD
Mailing Address - Street 2:SUITE #110
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3982
Mailing Address - Country:US
Mailing Address - Phone:425-283-0440
Mailing Address - Fax:425-283-0447
Practice Address - Street 1:1808 RICHARDS RD
Practice Address - Street 2:SUITE #110
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3982
Practice Address - Country:US
Practice Address - Phone:425-283-0440
Practice Address - Fax:425-283-0447
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2077TX152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2030674Medicaid
WA2030674Medicaid
WAU34236Medicare UPIN