Organization · Type 2 NPI

The Vancouver Clinic, Inc. PS

Eyewear Supplier · Vancouver, WA

NPI number 1790237212 Active

Practice location

2525 NE 139th St # 280
Vancouver, WA 98686-2719

Call (360) 882-2778 Map

Fax (360) 604-1780

Mailing address

PO Box 873010
Vancouver, WA 98687-3010

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	None listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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NPI record

NPI: 1790237212
Entity type: Organization (Type 2)
Issued: Nov 1, 2016
Last updated: Nov 1, 2016
Status: Active
Subpart: Yes of The Vancouver Clinic, Inc PS

Other names

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The Vancouver Clinic · doing business as

Authorized official

Dr. Alfred Seekamp, MD
Chief Medical Officer
(360) 397-5532

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1790237212

The Vancouver Clinic, Inc. PS's National Provider Identifier is 1790237212, issued on Nov 1, 2016. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Vancouver, WA. The record was last updated on Nov 1, 2016.