Physician Compare National (NPI:1689939456)

HEALTHCARE PROVIDER: LEIGH ANN MAST O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1689939456
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9133442858
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150102000931
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MAST
	Individual professional last name
Provider First Name	LEIGH
	Individual professional first name
Provider Middle Name	ANN
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2317 SW 320TH ST A
	Group Practice or individual's line 1 address
Line 2 Street Address	TWIN LAKES VISION CLINIC
	Group Practice or individual's line 2 address
City	FEDERAL WAY
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	980232567
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y