Healthcare Provider Details

I. General information

NPI: 1982270898
Provider Name (Legal Business Name): AUSTIN IGELMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2021
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 NE NORTHGATE WAY
SEATTLE WA
98125-6047
US

IV. Provider business mailing address

332 NE NORTHGATE WAY
SEATTLE WA
98125-6047
US

V. Phone/Fax

Practice location:
  • Phone: 206-528-6000
  • Fax: 206-528-0014
Mailing address:
  • Phone: 206-528-6000
  • Fax: 206-528-0014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD.MD.70018722
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: