Scott R Lewis, Od, Pllc

NPI #1316233968 in Camas, Washington

Provider Information

NPI Number: 1316233968
Entity Type: Organization
Organization Name: Scott R Lewis, Od, Pllc
Primary Specialty: Optometrist
Enumeration Date: Jun 22, 2011
Last Updated: Jun 22, 2011

Practice Location

Address: 19610 SE 1ST ST
City: Camas
State: Washington
ZIP Code: 98607-7472
Phone: (360) 258-6234

Authorized Official

Name: DR. SCOTT ROBERT LEWIS, O.D.
Title: OWNER/OPTOMETRIST
Phone: (360) 258-6234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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