Provider Demographics
NPI:1780997577
Name:ENG, ANNE (OD)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:
Last Name:ENG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:ENG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:307 NE THORNTON PL
Mailing Address - Street 2:UNIT #336
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-8034
Mailing Address - Country:US
Mailing Address - Phone:312-399-7408
Mailing Address - Fax:
Practice Address - Street 1:9720 4TH AVE NE
Practice Address - Street 2:GROUP HEALTH NORTHGATE
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115
Practice Address - Country:US
Practice Address - Phone:206-527-7132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD60163224152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist