Organization · Type 2 NPI
Pacific Eyecare of Poulsbo PS
Eyewear Supplier · Bainbridge Island, WA
NPI number
1083604946
Active
Practice location
1100 Madison Ave N
Bainbridge Island, WA 98110-1781
Fax (206) 780-2020
Mailing address
20669 Bond Rd NE, Ste 100
Poulsbo, WA 98370-6525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | MD00029555 (WA) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
About NPI 1083604946
Pacific Eyecare of Poulsbo PS's National Provider Identifier is 1083604946, issued on Oct 24, 2005. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Bainbridge Island, WA. The record was last updated on Jun 19, 2008.