Sato, Michael J

Sato, Michael J is an individual health care provider with primary practice located at 100 Ne Gilman Blvd , Issaquah WA 98027-2925. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sato, Michael J can be contacted via phone (425) 821-8004.

Contact Information

Primary practice address
100 Ne Gilman Blvd Issaquah WA 98027-2925
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD00001303 Washington

Profile Details

NPI number 1265583876
LBN Legal business name Sato, Michael J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jun 17th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265583876 NPPES
Washington Other 039593 LABOR AND INDUSTRIES#
Washington MEDICAID 2050011 LABOR AND INDUSTRIES#
Washington Other SA8113 LABOR AND INDUSTRIES#
Washington Other US0862049 LABOR AND INDUSTRIES#

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