College Place Optical Center Inc.
NPI #1164575007 in Edmonds, Washington
Provider Information
- NPI Number
- 1164575007
- Entity Type
- Organization
- Organization Name
- College Place Optical Center Inc.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Jan 22, 2007
- Last Updated
- Nov 26, 2007
Practice Location
- Address
- 8325 212TH ST SW
- Address 2
- #104
- City
- Edmonds
- State
- Washington
- ZIP Code
- 98026-7435
- Phone
- (425) 774-3501
Authorized Official
- Name
- MR. RONALD S SWENGEL, LDO
- Title
- OPTICIAN
- Phone
- (425) 774-3501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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