Organization Active NPI

Dr. Paula S. Fadhl, LLC

  • Optometrist
  • Seattle, WA
National Provider Identifier
1952530784
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3891 TX Issued in WA
Legal business name
DR. PAULA S. FADHL, LLC
Practice address
2025 1St Ave
Suite C
Seattle, WA 98121
Phone
(206) 443-0320
Fax
(206) 443-0323
NPI assigned
Jul 14, 2009
Organization subpart
Yes
Parent organization
DR. PAULA S FADHL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Dr. Paula Suzanne Fadhl-Pohl, O.D.
Title
President
Phone
(206) 443-0320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3891 TX WA Primary

Addresses

Primary practice location

2025 1St Ave
Suite C
Seattle, WA 98121

Mailing address

2025 1St Ave
Suite C
Seattle, WA 98121
Phone (206) 443-0320

National Provider Directory

National Provider Directory
Part of
Dr Paula S Fadhl LLC

Locations

10204 Main St
Bellevue, WA 98004
Phone (425) 635-2020

10032 Main St
Bellevue, WA 98004
Phone (425) 454-0258

2025 1st Ave
Ste C
Seattle, WA 98121
Phone (206) 443-0320

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1952530784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 1ST AVE",
            "address_2": "SUITE C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98121",
            "telephone_number": "206-443-0320",
            "fax_number": "206-443-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 1ST AVE",
            "address_2": "SUITE C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98121",
            "telephone_number": "206-443-0320",
            "fax_number": "206-443-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PAULA S. FADHL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. PAULA S FADHL, LLC",
        "enumeration_date": "2009-07-14",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "FADHL-POHL",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-443-0320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3891 TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.