Mark J Cannon Od Ps

NPI #1265789390 in Kirkland, Washington

Provider Information

NPI Number: 1265789390
Entity Type: Organization
Organization Name: Mark J Cannon Od Ps
Primary Specialty: Optometrist
Enumeration Date: Aug 8, 2012
Last Updated: Aug 8, 2012

Practice Location

Address: 134 CENTRAL WAY
Address 2: WASHINGTON PACIFIC EYE ASSOCIATES
City: Kirkland
State: Washington
ZIP Code: 98033-6106
Phone: (425) 889-2020

Authorized Official

Name: DR. MARK J CANNON, O.D.
Title: CHIEF OF OPTOMETRY
Phone: (206) 714-8445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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