Northwest Eyecare Network
NPI #1316178080 in Kent, Washington
Provider Information
- NPI Number
- 1316178080
- Entity Type
- Organization
- Organization Name
- Northwest Eyecare Network
- Primary Specialty
- Optometrist
- Enumeration Date
- Jul 29, 2009
- Last Updated
- Mar 6, 2017
Practice Location
- Address
- 420 W SMITH ST
- Address 2
- SUITE 105
- City
- Kent
- State
- Washington
- ZIP Code
- 98032-4423
- Phone
- (253) 867-1616
Authorized Official
- Name
- DR. SHAUNA MAZZULLA, OD
- Title
- OWNER
- Phone
- (253) 867-1616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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