Broadway Vision Source

LBN: Broadway Vision Source
Broadway Vision Source is an health care organization with primary practice located at Broadway Vision Source 301 A East Pike St. , Seattle WA 98122-3609. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Broadway Vision Source can be contacted via phone (206) 464-0472, or through Matsunami, Michael via phone (206) 464-0742.

Contact Information

Primary practice address
Broadway Vision Source 301 A East Pike St. Seattle WA 98122-3609
Phone: (206) 464-0472
Fax: (206) 464-0572
Website:
Map and Directions
Authorized official contact:
Name: Matsunami, Michael Doctor of Optometry (OD)
Phone: (206) 464-0742

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1780719807
LBN Legal business name Broadway Vision Source
DBA Doing business as
Authorized official Matsunami, Michael Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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