Lake Stevens Vision Clinic, Inc

NPI 1275666042 - Optometrist - 152W00000X

NPI Details
NPI 1275666042
Enumeration Date 03/13/2007
Last Updated 11/25/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RODNEY ALAN RODNEY
Position PRESIDENT
Phone (425) 334-4016
Fax (425) 334-4017
Practice Location
515 STATE ROUTE 9 NE STE 104
LAKE STEVENS WA, 98258-8523, US
Phone (425) 334-4016
Fax (425) 334-4017
Business Location
515 STATE ROUTE 9 NE STE 104
LAKE STEVENS WA, 98258-8523, US
Phone (425) 334-4016
Fax (425) 334-4017
Toxanomy
Taxonomy Code 152W00000X
License State Washington
License Number 1315TX
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According to our database, Lake Stevens Vision Clinic, Inc NPI is 1275666042, taxonomy code is 152W00000X and license number is 1315TX, license state is located at Washington. Lake Stevens Vision Clinic, Inc physically located at 515 State Route 9 Ne Ste 104, Lake Stevens WA, 98258-8523. NPI Number 1033115704 has the healthcare provider type.

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1275666042 NPI number is provided on an as is basis without warranty of any kind. 1275666042 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Stevens Vision Clinic, Inc are for informational purposes only.