Savage, Gary Lee

Savage, Gary Lee is an individual health care provider with primary practice located at 9623 32Nd St Se D-121, Everett WA 98205-2424. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Savage, Gary Lee can be contacted via phone (425) 377-9747.

Contact Information

Primary practice address
9623 32Nd St Se D-121 Everett WA 98205-2424
Phone: (425) 377-9747
Fax: (425) 377-8757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2085 Washington

Profile Details

NPI number 1922040823
LBN Legal business name Savage, Gary Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jun 24th, 2010 - about 16 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 1922040823 NPPES
Washington MEDICAID 2031821

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