Basic Information
Provider Information
NPI: 1689674517
EntityType: 2
ReplacementNPI:  
OrganizationName: SIGHT PARTNERS PHYSICIANS, P.C.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: NORTHWEST EYE SURGEONS
OtherOrganizationType: 5
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: SIGHT PARTNERS PHYSICIANS PC
Address2: PO BOX 35111
City: SEATTLE
State: WA
PostalCode: 981245111
CountryCode: US
TelephoneNumber: 2065286000
FaxNumber: 2068587050
Practice Location
Address1: 332 NE NORTHGATE WAY
Address2:  
City: SEATTLE
State: WA
PostalCode: 98125
CountryCode: US
TelephoneNumber: 2065286000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/21/2005
LastUpdateDate: 10/07/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: ELLIOTT
AuthorizedOfficialFirstName: NOELLE
AuthorizedOfficialMiddleName: A
AuthorizedOfficialTitleorPosition: DIRECTOR OF COMPLIANCE & REV CYCLE
AuthorizedOfficialTelephone: 3603624360
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/07/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207W00000X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansOphthalmology 

No ID Information.


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