Healthcare Provider Details

I. General information

NPI: 1912851320
Provider Name (Legal Business Name): DR. SAQIB RAZZAK, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9601 MARKET PL
LAKE STEVENS WA
98258-7949
US

IV. Provider business mailing address

9601 MARKET PL
LAKE STEVENS WA
98258-7949
US

V. Phone/Fax

Practice location:
  • Phone: 562-879-4354
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: SAQIB ABDUL RAZZAK
Title or Position: OPTOMETRIST
Credential: OD
Phone: 562-879-4354