Provider Demographics
NPI:1922313345
Name:SEA, SAVATEI SUSAN (OD)
Entity Type:Individual
Prefix:MS
First Name:SAVATEI
Middle Name:SUSAN
Last Name:SEA
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 1:2448 76TH AVE SE STE 106
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-2782
Mailing Address - Country:US
Mailing Address - Phone:206-940-0723
Mailing Address - Fax:206-232-2502
Practice Address - Street 1:2448 76TH AVE SE STE 106
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2782
Practice Address - Country:US
Practice Address - Phone:206-232-1633
Practice Address - Fax:206-232-2502
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60155816152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1922313345Medicare UPIN