Silver Lake Eye Care Center
LBN: Lm Sundholm Inc Ps
Silver Lake Eye Care Center is an health care organization with primary practice located at 10101 19Th Ave Se Ste #B, Everett WA 98208-4255. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Lm Sundholm Inc Ps can be contacted via phone (425) 338-5400, or through Sundholm, Lynette M via phone (425) 338-5400.
Contact Information
Primary practice address
10101 19Th Ave Se Ste #B
Everett WA 98208-4255
Phone: (425) 338-5400
Fax: (425) 338-5402
Website:
Authorized official contact:
Name: Sundholm, Lynette M Doctor of Optometry (OD)
Phone: (425) 338-5400
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00001681 | Washington |
Profile Details
| NPI number | 1639111073 |
|---|---|
| LBN Legal business name | Lm Sundholm Inc Ps |
| DBA Doing business as | Silver Lake Eye Care Center |
| Authorized official | Sundholm, Lynette M Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Dec 1st, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639111073 | NPPES |
| Washington | MEDICAID | 1013265 |
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