Provider Demographics
NPI:1992871925
Name:DUESING, PAMELA F (OD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:F
Last Name:DUESING
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3042 ISSAQUAH PINE LAKE RD SE
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98075-7253
Mailing Address - Country:US
Mailing Address - Phone:425-392-7876
Mailing Address - Fax:425-392-9927
Practice Address - Street 1:3042 ISSAQUAH PINE LAKE RD SE
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98075-7253
Practice Address - Country:US
Practice Address - Phone:425-392-7876
Practice Address - Fax:425-392-9927
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1645TX152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAT01821Medicare UPIN