Organization · Type 2 NPI

Broadway Vision Source

Clinic/Center · Seattle, WA

NPI number 1780719807 Active

Practice location

Broadway Vision Source 301 A East Pike St.
Seattle, WA 98122-3609

Call (206) 464-0472 Map

Fax (206) 464-0572

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1780719807

Broadway Vision Source's National Provider Identifier is 1780719807, issued on Feb 22, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Seattle, WA. The record was last updated on Aug 22, 2020.