Blue Wave Eye Doctors Professional Limited Liability Company
NPI #1225784515 in Everett, Washington
Provider Information
- NPI Number
- 1225784515
- Entity Type
- Organization
- Organization Name
- Blue Wave Eye Doctors Professional Limited Liability Company
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Feb 24, 2022
- Last Updated
- Apr 27, 2022
Practice Location
- Address
- 305 SE EVERETT MALL WAY STE 21
- City
- Everett
- State
- Washington
- ZIP Code
- 98208-3250
- Phone
- (425) 386-8428
Authorized Official
- Name
- GULROOP HANSRA, OD
- Title
- PRESIDENT
- Phone
- (726) 444-4078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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