Provider Demographics
NPI:1588441356
Name:WASHINGTON EYE SURGEONS
Entity type:Organization
Organization Name:WASHINGTON EYE SURGEONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / OPHTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-734-6898
Mailing Address - Street 1:3432 77TH PL SE
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-3446
Mailing Address - Country:US
Mailing Address - Phone:206-734-6898
Mailing Address - Fax:
Practice Address - Street 1:21906 76TH AVE W
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-7902
Practice Address - Country:US
Practice Address - Phone:425-774-2620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty