MEDICARE: DR. ADRIAN SALAMANCA 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
1	152W00000X	Optometrist	60816211	WA

General Provider Information

NPI Number	:	1710239058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADRIAN SALAMANCA O.D.

Provider Business Mailing Address
First Line	:	7101 MARTIN LUTHER KING JR WAY S STE 209
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-3593
Country	:	US
Telephone Number	:	206-722-2218
Fax Number	:	206-722-2211

Provider Business Practice Location Address
First Line	:	7101 MARTIN LUTHER KING JR WAY S STE 209
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-3593
Country	:	US
Telephone Number	:	206-722-2218
Fax Number	:	206-722-2211

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

Provider Enumeration Date	:	10/10/2012
Last Update Date	:	01/13/2026

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