MEDICARE: CLEARVIEW EYE AND LASER, PLLC

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	332H00000X	Eyewear Supplier	6024508225	WA
2	332H00000X	Eyewear Supplier	603260547	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942327663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEARVIEW EYE AND LASER, PLLC

Provider Business Mailing Address
First Line	:	7520 35TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98126-3228
Country	:	US
Telephone Number	:	206-937-9600
Fax Number	:	206-937-4088

Provider Business Practice Location Address
First Line	:	7520 35TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98126-3228
Country	:	US
Telephone Number	:	206-937-9600
Fax Number	:	206-937-4088

Authorized Official
Title or Position	:	CONROLLER
Name	:	LOUISE COOMES
Credential	:
Telephone Number	:	206-937-9600

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	11/15/2023

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