Kingston Eyecare Center, LLC

NPI #1134293228 in Kingston, Washington

Provider Information

NPI Number: 1134293228
Entity Type: Organization
Organization Name: Kingston Eyecare Center, LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 20, 2006
Last Updated: May 13, 2008

Practice Location

Address: 25989 BARBER CUT OFF RD NE
City: Kingston
State: Washington
ZIP Code: 98346-8455
Phone: (360) 297-2844

Authorized Official

Name: MITCHELL D BROCKETT, OD
Title: OWNER
Phone: (360) 297-2844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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