Eye Society Mill Creek Pllc

NPI #1326336553 in Mill Creek, Washington

Provider Information

NPI Number: 1326336553
Entity Type: Organization
Organization Name: Eye Society Mill Creek Pllc
Primary Specialty: Optometrist
Enumeration Date: Jul 21, 2011
Last Updated: Jul 21, 2011

Practice Location

Address: 15407 MAIN ST # E103
City: Mill Creek
State: Washington
ZIP Code: 98012-7375
Phone: (425) 357-8234

Authorized Official

Name: DR. DERIN KEN TAGUCHI, OD
Title: PRESIDENT
Phone: (425) 357-8234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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