Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 60625392 | WA |
NPI | 1013375146 |
---|---|
Provider Name | Dr. Zhi Neng Feng |
First Address | Seattle, WA 98116-4552 |
Second Address | Seattle, WA 98116-4552 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2016 |
Last Update Date | 01/12/2021 |