MEDICARE: DR. COLLIN ROZANSKI MD

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
1	207W00000X	Ophthalmology Physician	MD61521965	WA

General Provider Information

NPI Number	:	1588289375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COLLIN ROZANSKI MD

Provider Business Mailing Address
First Line	:	1100 9TH AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98101-2756
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 9TH AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98101-2756
Country	:	US
Telephone Number	:	206-341-0158
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2020
Last Update Date	:	05/20/2026

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