DR. John Bowen Eastlake, O.D.

NPI #1134119068 in Joint Base Lewis Mcchord, Washington

Provider Information

NPI Number: 1134119068
Entity Type: Individual
Name: DR. John Bowen Eastlake, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 23, 2005
Last Updated: Jan 21, 2021

Practice Location

Address: MADIGAN ARMY MEDICAL CENTER
Address 2: 9040 JACKSON AVE
City: Joint Base Lewis Mcchord
State: Washington
ZIP Code: 98431
Phone: (253) 968-3760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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