Provider Demographics
NPI:1023797230
Name:XPW VISION PLLC
Entity type:Organization
Organization Name:XPW VISION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:XIHUA
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:206-817-8892
Mailing Address - Street 1:2929 76TH AVE SE APT 304
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-2717
Mailing Address - Country:US
Mailing Address - Phone:206-817-8892
Mailing Address - Fax:
Practice Address - Street 1:2715 CALIFORNIA AVE SW APT 110A
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-2563
Practice Address - Country:US
Practice Address - Phone:206-817-8892
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty