Great Vision Northwest

NPI #1265807382 in Bellevue, Washington

Provider Information

NPI Number
1265807382
Entity Type
Organization
Organization Name
Great Vision Northwest
Primary Specialty
Optometrist
Enumeration Date
Dec 1, 2015
Last Updated
Dec 1, 2015

Practice Location

Address
14230 NE 20TH ST
Address 2
SUITE C
ZIP Code
98007-3741
Phone
(425) 748-1000

Authorized Official

Name
SHANE ONIEL DURRANT
Title
OPTOMETRIST
Phone
(614) 493-6440

Specialties & Taxonomy Codes

Specialty
Optometrist

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