Provider Demographics
NPI:1912167842
Name:SAMUEL K SETO MD PLLC
Entity Type:Organization
Organization Name:SAMUEL K SETO MD PLLC
Other - Org Name:EYE SURGERY OF EDMONDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:SETO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-774-7723
Mailing Address - Street 1:21911 76TH AVE W
Mailing Address - Street 2:SUITE 202
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-7918
Mailing Address - Country:US
Mailing Address - Phone:425-774-7723
Mailing Address - Fax:425-778-2788
Practice Address - Street 1:21911 76TH AVE W
Practice Address - Street 2:SUITE 202
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-7918
Practice Address - Country:US
Practice Address - Phone:425-774-7723
Practice Address - Fax:425-778-2788
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EYE CLINIC OF EDMONDS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-13
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical