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NPI Code Detail

MEDICARE: JEFFREY DABUNDO OD

MEDICARE: JEFFREY DABUNDO OD
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
1152W00000XOptometristOD61064100WA

General Provider Information

NPI Number : 1912564410
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY DABUNDO OD
Provider Business Mailing Address
First Line : PO BOX 50095
Second Line : PO BOX 50095
City : SEATTLE
State : WA
Zip : 98195-5095
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 325 9TH AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2420
Country : US
Telephone Number : 206-520-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2019
Last Update Date : 12/10/2025

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Directions to “ JEFFREY DABUNDO OD” Practice Location

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