Blue Wave Eye Doctors, Professional Limited Liability Company
NPI #1053022871 in Seattle, Washington
Provider Information
- NPI Number
- 1053022871
- Entity Type
- Organization
- Organization Name
- Blue Wave Eye Doctors, Professional Limited Liability Company
- Primary Specialty
- Optometrist
- Enumeration Date
- Dec 13, 2022
- Last Updated
- Apr 7, 2023
Practice Location
- Address
- 340 NE NORTHGATE WAY
- City
- Seattle
- State
- Washington
- ZIP Code
- 98125
- Phone
- (206) 210-5963
Authorized Official
- Name
- DOLSIE MCDONALD
- Title
- CREDENTIALING MANAGER
- Phone
- (726) 444-4078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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