Jackson Vision Clinic Inc

LBN: Jackson Vision Clinic Inc
Jackson Vision Clinic Inc is an health care organization with primary practice located at 3324 Rainier Ave S , Seattle WA 98144-6034. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Jackson Vision Clinic Inc can be contacted via phone (206) 322-6915, or through Hoang, Samantha via phone (206) 395-2266.

Contact Information

Primary practice address
3324 Rainier Ave S Seattle WA 98144-6034
Phone: (206) 322-6915
Fax: (206) 395-2315
Website:
Map and Directions
Authorized official contact:
Name: Hoang, Samantha
Phone: (206) 395-2266

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD3718 Washington

Profile Details

NPI number 1215121140
LBN Legal business name Jackson Vision Clinic Inc
DBA Doing business as
Authorized official Hoang, Samantha
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2007
Last updated Mar 28th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215121140 NPPES
Washington MEDICAID 2026425

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