William J Wickline O.D.

NPI 1023004975 - Optometrist - 152W00000X

NPI Details
NPI 1023004975
Gender Male
Enumeration Date 09/26/2005
Last Updated 10/27/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
680 W WASHINGTON ST
SUITE E102
SEQUIM WA, 98382-3264, US
Phone (360) 681-3937
Fax (360) 681-2744
Business Location
680 W WASHINGTON ST
SUITE E102
SEQUIM WA, 98382-3264, US
Phone (360) 681-3937
Fax (360) 681-2744
Toxanomy
Taxonomy Code 152W00000X
License State Washington
License Number OD00001525
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According to our database, Dr. William J Wickline O.D. NPI is 1023004975, taxonomy code is 152W00000X and license number is OD00001525, license state is located at Washington. William J Wickline O.D. physically located at 680 W Washington St, Sequim WA, 98382-3264. NPI Number William J Wickline O.D. has the Individual type.

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1023004975 NPI number is provided on an as is basis without warranty of any kind. 1023004975 is maintained by the National Plan & Provider Enumeration System. The contents of William J Wickline O.D. are for informational purposes only.