Advanced Eye Care Center, P.s.

NPI 1013114743 - Optometrist - 152W00000X

NPI Details
NPI 1013114743
Enumeration Date 06/27/2007
Last Updated 05/22/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TIMOTHY RONALD TIMOTHY
Position OWNER
Phone (360) 256-0203
Fax
Practice Location
2100 SE 164TH AVE
SUITE D104
VANCOUVER WA, 98683-8934, US
Phone (360) 256-0203
Fax
Business Location
3993 NW CURRAWONG CT
CAMAS WA, 98607-8521, US
Phone (360) 256-0203
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Washington
License Number 3389
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According to our database, Advanced Eye Care Center, P.s. NPI is 1013114743, taxonomy code is 152W00000X and license number is 3389, license state is located at Washington. Advanced Eye Care Center, P.s. physically located at 2100 Se 164th Ave, Vancouver WA, 98683-8934. NPI Number 1033115704 has the healthcare provider type.

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1013114743 NPI number is provided on an as is basis without warranty of any kind. 1013114743 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Eye Care Center, P.s. are for informational purposes only.