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General NPI Number Information
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NPI Number | 1225252257
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Entity Type | Organization
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Legal Business Name | EYE ASSOCIATES SURGERY CENTER INC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/02/2020
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Provider Practice Location Address
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Address Line | 2100 LITTLE MOUNTAIN LN STE B
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City | MOUNT VERNON
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State | WA
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Zip | 98274-8752
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Country | US
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Telephone | 360-424-5338
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Fax | 360-848-7733
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Provider Business Mailing Address
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Address Line | 2100 LITTLE MOUNTAIN LN STE B
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City | MOUNT VERNON
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State | WA
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Zip | 98274-8752
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Country | US
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Telephone | 360-424-5338
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Fax | 360-848-7733
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SHERI SALDIVAR
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Credential |
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Telephone | 360-424-5338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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