New Eyedentity, LLC

NPI #1255521431 in Seattle, Washington

Provider Information

NPI Number: 1255521431
Entity Type: Organization
Organization Name: New Eyedentity, LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 25, 2007
Last Updated: Jun 19, 2008

Practice Location

Address: 6417 ROOSEVELT WAY NE STE 103
City: Seattle
State: Washington
ZIP Code: 98115-6657
Phone: (206) 526-2020

Authorized Official

Name: DR. KERRY MARTIN ATKINS, O.D.
Title: OPTOMETRIST
Phone: (206) 526-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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