Blue Wave Eye Doctors Professional Limited Liability Company

NPI #1255034070 in Tukwila, Washington

Provider Information

NPI Number
1255034070
Entity Type
Organization
Organization Name
Blue Wave Eye Doctors Professional Limited Liability Company
Primary Specialty
Eyewear Supplier
Enumeration Date
Mar 22, 2023
Last Updated
Mar 22, 2023

Practice Location

Address
359 STRANDER BLVD
ZIP Code
98188-2916
Phone
(726) 444-4122

Authorized Official

Name
DOLSIE MCDONALD
Title
CREDENTIALING MANAGER
Phone
(726) 444-4078

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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