Urban Optix LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD3918 Issued in WA

Legal business name

URBAN OPTIX LLC

Doing business as

Urban Optix

Practice address

400 Fairview Ave N Ste 115
Seattle, WA 98109-5370

Phone

(206) 250-0057

NPI assigned

Sep 9, 2016

Last updated

Sep 9, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Traci May Lee, OD

Title

Owener

Phone

(206) 250-0057

Specialties & licenses 1

Addresses

Other names 1

• Urban Optix Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1396292058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW AVE N STE 115",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW AVE N STE 115",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095370",
            "telephone_number": "206-250-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN OPTIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "206-250-0057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD3918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urban Optix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urban Play Collective
• Renata Rose Urban, M.D.
• Elizabeth Urbaniak, O.D.
• Lourie Ann A Urbano, PHARMD
• Karen Lee Urbanowicz, PHARMD

• Optometrist in Seattle, WA
• Providers in Seattle, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.