MEDICARE: DIMITRIOS GREGORY SANKEY

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	156FX1700X	Ocularist	OS60491305	WA

General Provider Information

NPI Number	:	1649777418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIMITRIOS GREGORY SANKEY

Provider Business Mailing Address
First Line	:	10212 5TH AVE NE STE 210
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-7471
Country	:	US
Telephone Number	:	206-522-4222
Fax Number	:	206-525-1496

Provider Business Practice Location Address
First Line	:	10212 5TH AVE NE STE 210
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-7471
Country	:	US
Telephone Number	:	206-522-4222
Fax Number	:	206-525-1496

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

Provider Enumeration Date	:	04/09/2018
Last Update Date	:	05/18/2026

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Directions to “ DIMITRIOS GREGORY SANKEY ” Practice Location

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