Overlake Vision Clinic, LLC
NPI #1386923654 in Redmond, Washington
Provider Information
- NPI Number
- 1386923654
- Entity Type
- Organization
- Organization Name
- Overlake Vision Clinic, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 4, 2011
- Last Updated
- Aug 4, 2011
Practice Location
- Address
- 2200 148TH AVE NE
- City
- Redmond
- State
- Washington
- ZIP Code
- 98052-5524
- Phone
- (425) 644-6581
Authorized Official
- Name
- MINA MITSUOKA, O.D.
- Title
- OPTOMETRIC PHYSICIAN/OWNER
- Phone
- (310) 487-2783
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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