Provider Demographics
NPI:1073754511
Name:CASIMIR, KESHIA (OD)
Entity type:Individual
Prefix:
First Name:KESHIA
Middle Name:
Last Name:CASIMIR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7520 35TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-3228
Mailing Address - Country:US
Mailing Address - Phone:206-937-9600
Mailing Address - Fax:206-937-4088
Practice Address - Street 1:7520 35TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126-3228
Practice Address - Country:US
Practice Address - Phone:206-937-9600
Practice Address - Fax:206-937-4088
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-12
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046.010185152W00000X
WAOD60307982152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist