| Comfort Vision | |
|
1912 201st Pl Se Suite 204 Bothell WA 98012-8570 | |
| (425) 485-6812 | |
| (425) 485-6813 |
| Full Name | Comfort Vision |
|---|---|
| Speciality | Clinic/center |
| Location | 1912 201st Pl Se, Bothell, Washington |
| Authorized Official Name and Position | Jaclyn T Phan (PRESIDENT) |
| Authorized Official Contact | 4254856812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comfort Vision 1912 201st Pl Se Suite 204 Bothell WA 98012-8570 Ph: (425) 485-6812 | Comfort Vision 1912 201st Pl Se Suite 204 Bothell WA 98012-8570 Ph: (425) 485-6812 |
| NPI Number | 1437330123 |
|---|---|
| Provider Enumeration Date | 11/21/2007 |
| Last Update Date | 11/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437330123 | NPI | - | NPPES |
| 2033652 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3357 (Washington) | Primary |
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