Provider Demographics
NPI:1306337506
Name:VISION CARE CENTER, PLLC
Entity type:Organization
Organization Name:VISION CARE CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDIENT
Authorized Official - Prefix:
Authorized Official - First Name:NERY
Authorized Official - Middle Name:C
Authorized Official - Last Name:SISON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:425-746-2122
Mailing Address - Street 1:14700 NE 8TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-4115
Mailing Address - Country:US
Mailing Address - Phone:425-746-2122
Mailing Address - Fax:425-746-1588
Practice Address - Street 1:14700 NE 8TH ST STE 105
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-4115
Practice Address - Country:US
Practice Address - Phone:425-746-2122
Practice Address - Fax:425-746-1588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-23
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1678152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty