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General NPI Number Information
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NPI Number | 1295190023
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Entity Type | Organization
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Legal Business Name | WEST SEATTLE VISION CLINIC PLLC
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Dates
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Enumeration Date | 12/21/2015
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 6505 CALIFORNIA AVE SW
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City | SEATTLE
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State | WA
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Zip | 98136-1833
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Country | US
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Telephone | 206-829-9688
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Fax | 206-829-9634
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Provider Business Mailing Address
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Address Line | 6505 CALIFORNIA AVE SW
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City | SEATTLE
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State | WA
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Zip | 98133
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Country | US
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Telephone | 206-829-9688
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Fax | 206-829-9634
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL H CHOW
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Credential | OD
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Telephone | 253-351-0092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3181TX
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD60155820
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License Number State | WA
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