Blue Wave Eye Doctors Professional Limited Liability Company

NPI #1972214765 in Lynnwood, Washington

Provider Information

NPI Number: 1972214765
Entity Type: Organization
Organization Name: Blue Wave Eye Doctors Professional Limited Liability Company
Primary Specialty: Optometrist
Enumeration Date: Dec 12, 2022
Last Updated: Feb 27, 2023

Practice Location

Address: 3101 184TH ST SW STE 109&110
City: Lynnwood
State: Washington
ZIP Code: 98037-4846
Phone: (726) 444-4122

Authorized Official

Name: DOLSIE MCDONALD
Title: CREDENTIALING MANAGER
Phone: (726) 444-4078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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