Corliss Optometrists

NPI #1932321296 in Puyallup, Washington

Provider Information

NPI Number: 1932321296
Entity Type: Organization
Organization Name: Corliss Optometrists
Primary Specialty: Optometrist
Enumeration Date: May 3, 2007
Last Updated: Mar 3, 2021

Practice Location

Address: 312 4TH ST SE
City: Puyallup
State: Washington
ZIP Code: 98372
Phone: (253) 845-0585

Authorized Official

Name: MS. CLYSTA C PRIETO
Title: BOOKKEEPER
Phone: (253) 845-0587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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