| Dhaliwal Optometry Pllc | |
|
12417 Se 265th Ct Kent WA 98030-8672 | |
| (253) 275-8529 | |
| Not Available |
| Full Name | Dhaliwal Optometry Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12417 Se 265th Ct, Kent, Washington |
| Authorized Official Name and Position | Upkar Dhaliwal (OD) |
| Authorized Official Contact | 2532758529 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dhaliwal Optometry Pllc 12417 Se 265th Ct Kent WA 98030-8672 Ph: (253) 275-8529 | Dhaliwal Optometry Pllc 12417 Se 265th Ct Kent WA 98030-8672 Ph: (253) 275-8529 |
| NPI Number | 1033788328 |
|---|---|
| Provider Enumeration Date | 06/21/2021 |
| Last Update Date | 06/21/2021 |
| Medicare PECOS PAC ID | 6002214210 |
|---|---|
| Medicare Enrollment ID | O20211001000961 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033788328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Upkar Dhaliwal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497323208 PECOS PAC ID: 7810395027 Enrollment ID: I20211001002544 |
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