Lake Forest Vision
NPI #1710043161 in Lake Forest Park, Washington
Provider Information
- NPI Number
- 1710043161
- Entity Type
- Organization
- Organization Name
- Lake Forest Vision
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Dec 29, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 17171 BOTHELL WAY NE
- City
- Lake Forest Park
- State
- Washington
- ZIP Code
- 98155-5534
- Phone
- (206) 363-9292
Authorized Official
- Name
- DR. GARY PHILLIP ARCHER, DOCTOR OF OPTOMETRY
- Title
- OWNER
- Phone
- (206) 363-9292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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