Issaquah Vision Source Ps

NPI 1225195431 - Optometrist - 152W00000X

NPI Details
NPI 1225195431
Enumeration Date 01/03/2007
Last Updated 04/23/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WALTER V WALTER
Position PRESIDENT
Phone (425) 392-8756
Fax (425) 391-8631
Practice Location
450 NW GILMAN BLVD
STE 104
ISSAQUAH WA, 98027-2483, US
Phone (425) 392-8756
Fax (425) 391-8631
Business Location
450 NW GILMAN BLVD
STE 104
ISSAQUAH WA, 98027-2483, US
Phone (425) 392-8756
Fax (425) 391-8631
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Issaquah Vision Source Ps NPI is 1225195431, taxonomy code is 152W00000X Issaquah Vision Source Ps physically located at 450 Nw Gilman Blvd, Issaquah WA, 98027-2483. NPI Number 1033115704 has the healthcare provider type.

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1225195431 NPI number is provided on an as is basis without warranty of any kind. 1225195431 is maintained by the National Plan & Provider Enumeration System. The contents of Issaquah Vision Source Ps are for informational purposes only.