Provision Eye Clinic, Inc.
NPI #1962783829 in Covington, Washington
Provider Information
- NPI Number
- 1962783829
- Entity Type
- Organization
- Organization Name
- Provision Eye Clinic, Inc.
- Primary Specialty
- Optometrist
- Enumeration Date
- Sep 6, 2011
- Last Updated
- Oct 1, 2011
Practice Location
- Address
- 17432 SE 270TH PL
- Address 2
- INSIDE WALMART VISION CENTER
- City
- Covington
- State
- Washington
- ZIP Code
- 98042-4962
- Phone
- (253) 630-8718
Authorized Official
- Name
- DR. DONALD LEUNG, O.D.
- Title
- PRESIDENT
- Phone
- (312) 933-0078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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