Healthcare Provider Details

I. General information

NPI: 1215153259
Provider Name (Legal Business Name): CLEARVIEW EYE AND LASER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 11/15/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7520 35TH AVE SW
SEATTLE WA
98126-3228
US

IV. Provider business mailing address

7520 35TH AVE SW
SEATTLE WA
98126-3228
US

V. Phone/Fax

Practice location:
  • Phone: 206-937-9600
  • Fax: 206-937-4088
Mailing address:
  • Phone: 206-937-9600
  • Fax: 206-937-4088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number603260547
License Number StateWA

VIII. Authorized Official

Name: LOUISE COOMES
Title or Position: CONTROLLER
Credential:
Phone: 206-937-9600