| NPI Details | |
|---|---|
| NPI | 1013114743 |
| Enumeration Date | 06/27/2007 |
| Last Updated | 05/22/2008 |
| Entity Type | Healthcare Provider |
| Active | Over 10 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 |
| Remove 1013114743 NPI Number | |
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.
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