Woodlawn Optical of Bothell,inc
NPI #1609062298 in Bothell, Washington
Provider Information
- NPI Number
- 1609062298
- Entity Type
- Organization
- Organization Name
- Woodlawn Optical of Bothell,inc
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Sep 18, 2007
- Last Updated
- Nov 23, 2007
Practice Location
- Address
- 10116 MAIN ST
- Address 2
- SUITE 102
- City
- Bothell
- State
- Washington
- ZIP Code
- 98011-3444
- Phone
- (425) 486-7270
Authorized Official
- Name
- MR. PAUL JOSEPH KAVANAGH, LDO
- Title
- PRESIDENT
- Phone
- (425) 486-7270
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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