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General NPI Number Information
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NPI Number | 1821382144
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Entity Type | Organization
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Legal Business Name | EYE INSTITUTE PC
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Dates
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Enumeration Date | 06/03/2011
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 6520 226TH PL SE STE 201
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City | ISSAQUAH
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State | WA
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Zip | 98027-8969
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Country | US
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Telephone | 425-606-1359
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Fax | 425-642-8290
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Provider Business Mailing Address
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Address Line | 751 NE BLAKELY DR
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City | ISSAQUAH
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State | WA
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Zip | 98029-6201
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Country | US
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Telephone | 425-427-8450
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Fax | 425-394-0757
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Authorized Official
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Title or Position | OWNER
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Name | BARRY SANDOVAL
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Credential | MD
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Telephone | 425-313-5536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD00048106
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License Number State | WA
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