Male or Other

Dr. Steven E. Eriksen O.D.

Optometrist in Redmond, WA(View on Map)

Full Name

Dr. Steven E Eriksen O.D.

NPI Number

1851488639

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/05/2006

Specialties

(Taxonomies)

Code

152W00000X
152WC0802X
152WX0102X
152WP0200X
152WS0006X

Primary Taxonomy

Yes
No
No
No
No

Licenses

State

Washington

License Number

OD 0001073

Contact
Information

Purpose

Mailing
Location

Address

16528 CLEVELAND ST
16528 CLEVELAND ST

City

Redmond
Redmond

State

WA
WA

Postal Code

98052-4460
98052-4460

Country

US
US

Telephone Number

(425) 885-1974
(425) 885-1974

Identifiers

Identifier

2258309
G000101484

Identifier State

WA
WA

Identifier Issuer

Unknown
MEDICARE LEGACY PROVIDER NUMBER

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/14/2009

Provider Address

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