Pacific Eyecare of Poulsbo Ps
NPI #1083604946 in Bainbridge Island, Washington
Provider Information
- NPI Number
- 1083604946
- Entity Type
- Organization
- Organization Name
- Pacific Eyecare of Poulsbo Ps
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 24, 2005
- Last Updated
- Jun 19, 2008
Practice Location
- Address
- 1100 MADISON AVE N
- State
- Washington
- ZIP Code
- 98110-1781
- Phone
- (206) 842-2020
Authorized Official
- Name
- DAVID JC OMOREHUE
- Title
- MD/OWNER
- Phone
- (360) 779-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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