MR. Bernard Vaughan Stewart, LDO-LICENSED DISPENS
NPI #1528337540 in Seattle, Washington
Provider Information
- NPI Number
- 1528337540
- Entity Type
- Individual
- Name
- MR. Bernard Vaughan Stewart, LDO-LICENSED DISPENS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- LDO-LICENSED DISPENS
- Enumeration Date
- Dec 20, 2011
- Last Updated
- Jan 4, 2012
Practice Location
- Address
- 801 BROADWAY
- City
- Seattle
- State
- Washington
- ZIP Code
- 98122
- Phone
- (360) 668-5228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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