Optical Shop of Wa INC

NPI #1730362435 in Shelton, Washington

Provider Information

NPI Number: 1730362435
Entity Type: Organization
Organization Name: Optical Shop of Wa INC
Primary Specialty: Optometrist
Enumeration Date: Dec 17, 2007
Last Updated: Aug 2, 2016

Practice Location

Address: 1635 OLYMPIC HWY N
Address 2: SUITE 102
City: Shelton
State: Washington
ZIP Code: 98584-3065
Phone: (360) 427-7553

Authorized Official

Name: DR. DOLORES MAE FRAIRE, OD
Title: OPTOMETRIST
Phone: (360) 427-7553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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