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BROADWAY VISION SOURCE
NPI 1780719807
Clinic/Center in Seattle, WA

Active since February 22, 2007
BROADWAY VISION SOURCE 301 A EAST PIKE ST., SEATTLE, WA 98122(206) 464-0472(206) 464-0572 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadway Vision Source NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADWAY VISION SOURCE (NPI 1780719807) is a healthcare organization registered as a clinic/center in Seattle, Washington and active in the NPI registry since February 2007. The organization lists Michael Matsunami, Docter, as its authorized official.

NPPES Registry Identity

NPI1780719807
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBROADWAY VISION SOURCE
Location AddressBROADWAY VISION SOURCE 301 A EAST PIKE ST.Seattle, WA 98122-3609
Mailing AddressBroadway Vision Source 301 A East Pike St.Seattle, WA 98122 · (206) 464-0472 · Fax (206) 464-0572
Phone(206) 464-0472
Fax(206) 464-0572
Organization SubpartNo
Authorized OfficialMichael MatsunamiDocter · (206) 464-0742
Enumeration DateFebruary 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1780719807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
BROADWAY VISION SOURCE 301 A EAST PIKE ST., Seattle, WA 98122
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadway Vision Source's NPI number?

The NPI number for Broadway Vision Source is 1780719807. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Broadway Vision Source located?

Broadway Vision Source is located at Broadway Vision Source 301 A East Pike St., Seattle, WA 98122. The listed phone number is (206) 464-0472.

What is Broadway Vision Source's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Broadway Vision Source accept?

Health plans from BlueCross BlueShield of Tennessee list Broadway Vision Source as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Broadway Vision Source was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.