Northwest Vision Center, P.c.

NPI 1053509562 - Clinic/Center - 261Q00000X

NPI Details
NPI 1053509562
Enumeration Date 10/09/2007
Last Updated 04/05/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DALLAS ROBERT DALLAS
Position PRESIDENT
Phone (360) 489-0493
Fax (360) 943-9424
Practice Location
1510 COOPER POINT RD SW
SUITE 110
OLYMPIA WA, 98502-5734, US
Phone (360) 489-0493
Fax (360) 943-9424
Business Location
1510 COOPER POINT RD SW
SUITE 110
OLYMPIA WA, 98502-5734, US
Phone (360) 489-0493
Fax (360) 943-9424
Toxanomy
Taxonomy Code 261Q00000X
License State Washington
License Number OD00001152
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According to our database, Northwest Vision Center, P.c. NPI is 1053509562, taxonomy code is 261Q00000X and license number is OD00001152, license state is located at Washington. Northwest Vision Center, P.c. physically located at 1510 Cooper Point Rd Sw, Olympia WA, 98502-5734. NPI Number 1033115704 has the healthcare provider type.

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1053509562 NPI number is provided on an as is basis without warranty of any kind. 1053509562 is maintained by the National Plan & Provider Enumeration System. The contents of Northwest Vision Center, P.c. are for informational purposes only.