| NPI Details | |
|---|---|
| NPI | 1255619128 |
| Enumeration Date | 07/26/2011 |
| Last Updated | 10/17/2011 |
| Entity Type | Healthcare Provider |
| Active | Over 6 years ago |
| Authorized Information | |
|---|---|
| Name | CINDY CINDY |
| Position | CEO |
| Phone | (360) 943-1516 |
| Fax | |
| Practice Location | |
|---|---|
| 625 BLACK LAKE BLVD SW STE 110 OLYMPIA WA, 98502-8603, US |
|
| Phone | (360) 943-1516 |
| Fax | |
| Business Location | |
|---|---|
| 625 BLACK LAKE BLVD SW STE 110 OLYMPIA WA, 98502-8603, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 152W00000X |
| License State | |
| License Number | OD60146389 |
| Remove 1255619128 NPI Number | |
According to our database, Twilightvision Optometry, Corp NPI is 1255619128, taxonomy code is 152W00000X and license number is OD60146389, license state is located at . Twilightvision Optometry, Corp physically located at 625 Black Lake Blvd Sw Ste 110, Olympia WA, 98502-8603. NPI Number 1033115704 has the healthcare provider type.
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1255619128 NPI number is provided on an as is basis without warranty of any kind. 1255619128 is maintained by the National Plan & Provider Enumeration System. The contents of Twilightvision Optometry, Corp are for informational purposes only.
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