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PACIFIC NORTHWEST EYE CARE PS NPI 1912131012


NPI Information

NPI: 1912131012
Provider Name: PACIFIC NORTHWEST EYE CARE, PS

Doing Business As: PACIFIC NORTHWEST EYE CARE

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1940 BLACK LAKE BLVD SW
OLYMPIA, WA
ZIP 98512
Phone: (360) 570-1780
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PACIFIC NORTHWEST EYE CARE, PS is an eyewear supplier in Olympia, WA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. PACIFIC NORTHWEST EYE CARE, PS NPI is 1912131012. The provider is registered as an organization entity type.
The provider Is Doing Business As Pacific Northwest Eye Care.

The provider's business location address is:

1940 BLACK LAKE BLVD SW
OLYMPIA, WA
ZIP 98512-651
Phone: (360) 570-1780
Fax: (360) 570-1801

The provider's authorized official is Ben Harold Wong .
The authorized official title is Co-owner and has the following contact phone number (360) 570-1780.

The enumeration date for this NPI number is 5/5/2009 and was last updated on 5/5/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14198630001MEDICARE NSCWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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