Stephan Cassidy Od Ps
NPI #1225195431 in Issaquah, Washington
Provider Information
- NPI Number
- 1225195431
- Entity Type
- Organization
- Organization Name
- Stephan Cassidy Od Ps
- Primary Specialty
- Optometrist
- Enumeration Date
- Jan 3, 2007
- Last Updated
- Jul 11, 2019
Practice Location
- Address
- 450 NW GILMAN BLVD
- Address 2
- STE 104
- City
- Issaquah
- State
- Washington
- ZIP Code
- 98027-2483
- Phone
- (425) 392-8756
Authorized Official
- Name
- DR. STEPHAN L. CASSIDY, OD
- Title
- OWNER
- Phone
- (425) 392-8756
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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