| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALINA SAMPLE | 1689243685 | 2022-08-07 |
Alina Sample is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1689243685. Registration indicates Alina Sample is a provider of access to ophthalmic care services with a specialization in Eye & Vision Services Providers, Optometrist (Eye and Vision Services Providers, Optometrist) (Optometrist: Vision Therapy, ) (Optometrist Vision Therapy, Eye and Vision Services Providers) (Optometrist, )
| Entity Type | Individual |
| Provider Name | Alina Sample OD |
| Practice Office Address | 11411 NE 124TH ST STE 118 KIRKLAND, WA US |
| Practice Office Telephone | 4258202143 |
| Mailing Address | 11411 NE 124TH ST STE 118 KIRKLAND, WA 980344341 US |
| Business Telephone | 4258202143 |
| Code | Practice | License No State |
|---|---|---|
| 152WV0400X PRIMARY | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist: Vision Therapy Optometrist Vision Therapy Eye and Vision Services Providers Optometrist | OD61270747
WA |