NPIMap

Organization Active NPI

Sea Family Vision Clinic, PLLC

Doing business as Family Vision Clinic

  • Optometrist
  • Mountlake Terrace, WA
National Provider Identifier
1942962402
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SEA FAMILY VISION CLINIC, PLLC
Doing business as
Family Vision Clinic
Practice address
21005 44TH Ave W Ste 102
Mountlake Terrace, WA 98043-3584
Phone
(425) 775-7144
Fax
(425) 673-7885
NPI assigned
Oct 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Dr. Savatei Susan Sea, ODNPI 1922313345
Title
Owner
Phone
(206) 940-0723

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

21005 44TH Ave W Ste 102
Mountlake Terrace, WA 98043-3584

Mailing address

21005 44TH Ave W Ste 102
Mountlake Terrace, WA 98043-3584
Phone (425) 775-7144

Other identifiers 1

IdentifierTypeStateIssuer
2010382MedicaidWA

Other names 1

  • Family Vision Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

21005 44th Ave W
Ste 102
Mountlake Terrace, WA 98043
Phone (425) 775-7144

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1942962402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21005 44TH AVE W STE 102",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980433584",
            "telephone_number": "425-775-7144",
            "fax_number": "425-673-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21005 44TH AVE W STE 102",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980433584",
            "telephone_number": "425-775-7144",
            "fax_number": "425-673-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA FAMILY VISION CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "SEA",
        "authorized_official_first_name": "SAVATEI",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-940-0723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2010382",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.