SearchWashingtonOptometrist

Wilbur Susilasate, O.D

NPI 1891783676 · on the registry since 2005

Practice

Address
7101 Martin Luther King Jr Way S
#209
Seattle, WA 98118
Phone
(206) 722-2218
Fax
(206) 722-2211
Organisation at this address
Vina Clinic Inc.
Tran Medical Supply Llc
Rainier Valley Optometric, Inc
Kp Pharmacy & Medical Supplies Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
Optometrist
152W00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington