Ron Coverdale Od Ps

NPI #1437331782 in Kenmore, Washington

Provider Information

NPI Number: 1437331782
Entity Type: Organization
Organization Name: Ron Coverdale Od Ps
Primary Specialty: Optometrist
Enumeration Date: Nov 28, 2007
Last Updated: Mar 9, 2010

Practice Location

Address: 6830 NE BOTHELL WAY
Address 2: SUITE B
City: Kenmore
State: Washington
ZIP Code: 98028-3546
Phone: (425) 485-3051

Authorized Official

Name: DR. CHARLES RON COVERDALE, OD
Title: PRESIDENT
Phone: (425) 485-3051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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