| Overlake Vision Clinic, Llc | |
|
2200 148th Ave Ne Redmond WA 98052-5524 | |
| (425) 644-6581 | |
| Not Available |
| Full Name | Overlake Vision Clinic, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2200 148th Ave Ne, Redmond, Washington |
| Authorized Official Name and Position | Mina Mitsuoka (OPTOMETRIC PHYSICIAN/OWNER) |
| Authorized Official Contact | 3104872783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Overlake Vision Clinic, Llc 15902 Ne 27th Pl Bellevue WA 98008-2248 Ph: (310) 487-2783 | Overlake Vision Clinic, Llc 2200 148th Ave Ne Redmond WA 98052-5524 Ph: (425) 644-6581 |
| NPI Number | 1386923654 |
|---|---|
| Provider Enumeration Date | 08/04/2011 |
| Last Update Date | 08/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386923654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 60226320 (Washington) | Primary |
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