| |
109 Ne Birch St, Coupeville, WA 98239 | |
(360) 678-2020 | |
(360) 678-6228 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 109 Ne Birch St, Coupeville, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770527897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | MD00020388 (Washington) | Primary |
Mailing Address | Practice Location Address |
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Po Box 1227, Coupeville, WA 98239-1227 Ph: (360) 678-2020 | 109 Ne Birch St, Coupeville, WA 98239 Ph: (360) 678-2020 |