Wilbur Susilasate (NPI# 1891783676, PAC ID# 7517931629) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1891783676 |
| PAC ID by PECOS | 7517931629 |
| Professional Enrollment ID | I20040826001045 |
| Full Name | Wilbur Susilasate |
| Organization Legal Name | RAINIER VALLEY OPTOMETRIC INC |
| Address |
7101 Martin Luther King Jr Way S Suite 209 Seattle WA 98118-3593 |
| Phone Number | 2067222218 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY |
| Graduation Year | 2000 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1557335650 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7101 Martin Luther King Jr Way S, Suite 209, Seattle, WA 98118-3593 | 2067222218 | RAINIER VALLEY OPTOMETRIC INC |
| Organization Legal Name | RAINIER VALLEY OPTOMETRIC INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tuong Ngoc Vo | Optometry | Rainier Valley Optometric Inc | 7101 Martin Luther King Jr Way S, Suite 209, Seattle, WA 98118-3593 |
| Isabel Rattanapuapan Duong | Optometry | Rainier Valley Optometric Inc | 7101 Martin Luther King Jr Way S, Suite 209, Seattle, WA 98118-3593 |
| Street Address |
7101 MARTIN LUTHER KING JR WAY S SUITE 209 |
| City | SEATTLE |
| State | WA |
| Zip | 98118-3593 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tuong Ngoc Vo | Optometry | Rainier Valley Optometric Inc | 7101 Martin Luther King Jr Way S, Suite 209, Seattle, WA 98118-3593 |
| Isabel Rattanapuapan Duong | Optometry | Rainier Valley Optometric Inc | 7101 Martin Luther King Jr Way S, Suite 209, Seattle, WA 98118-3593 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taro Aikawa | Diagnostic Radiology | Montgomery Radiology Associates PC | 3846 Cascadia Ave S, Seattle, WA 98118-1129 |
| Quan P Le | General Practice | 4069 Rainier S Ave A, Seattle, WA 98118-1162 | |
| Natasha M Butters | Chiropractic | Rainier Valley Chiropractic Ps | 4236 36th Ave S, Seattle, WA 98118-1312 |
| David A Butters | Chiropractic | Rainier Valley Chiropractic Ps | 4236 36th Ave S, Seattle, WA 98118-1312 |
| Mitchell M Gottschalk | Chiropractic | Rainier Valley Chiropractic Ps | 4236 36th Ave S, Seattle, WA 98118-1312 |
| Lance M Tingey | Chiropractic | Rainier Valley Chiropractic Ps | 4236 36th Ave S, Seattle, WA 98118-1312 |
| Katherine Ann Silveri | Physician Assistant | Swedish Health Services | 4412 Rainier Ave S, Seattle, WA 98118-1373 |
| Lamont Andante Scott | Physician Assistant | Swedish Health Services | 4412 Rainier Ave S, Seattle, WA 98118-1373 |
| Abby Renee Edwards | Nurse Practitioner | Swedish Health Services | 4412 Rainier Ave S, Seattle, WA 98118-1373 |
| Grace C Grymes Chapman | Nurse Practitioner | Swedish Health Services | 4412 Rainier Ave S, Seattle, WA 98118-1373 |
| Find all physicians in zip 98118 | |||
| City | SEATTLE |
| Zip Code | 98118 |
| Specialty | OPTOMETRY |
| City + Specialty | SEATTLE + OPTOMETRY |
Please comment or provide details below to improve the information on Wilbur Susilasate.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.