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NPI Code Detail

MEDICARE: DR. HANH T. BUI O.D.

MEDICARE:  DR. HANH T. BUI  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristWA3610WA
2152W00000XOptometristOPC 3427FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1912081169OTHERWATID

General Provider Information

NPI Number : 1518093020
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HANH T. BUI O.D.
Provider Business Mailing Address
First Line : 13730 15TH AVE NE
Second Line : (F201)
City : SEATTLE
State : WA
Zip : 98125-3112
Country : US
Telephone Number : 206-931-0465
Fax Number :
Provider Business Practice Location Address
First Line : 302 NE NORTHGATE WAY
Second Line :
City : SEATTLE
State : WA
Zip : 98125-6047
Country : US
Telephone Number : 206-494-0900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 07/08/2007

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