Vivid Eyecare, Pllc

NPI #1679335707 in Puyallup, Washington

Provider Information

NPI Number: 1679335707
Entity Type: Organization
Organization Name: Vivid Eyecare, Pllc
Primary Specialty: Optometrist
Enumeration Date: Jan 24, 2024
Last Updated: Jan 24, 2024

Practice Location

Address: 16502 MERIDIAN E
City: Puyallup
State: Washington
ZIP Code: 98375-2515
Phone: (253) 686-2770

Authorized Official

Name: DR. NATHAN WENDELL GORHAM, OD
Title: OWNER
Phone: (253) 686-2770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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