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Eyedentity, INC.

Optometrist in Kirkland, WA. Organization (NPI-2).

NPI number1477753226
StatusActive
Last updated in NPPESJun 19, 2008

Details

NPI
1477753226
Entity type
Organization (NPI-2)
Legal business name
Eyedentity, INC.
Organization subpart
No
Enumeration date
Jul 20, 2007
Last updated
Jun 19, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist1750WAYes

Practice location

941 6th St S
Kirkland, WA 98033-6712

Phone 425-822-7685 · Fax 425-889-1664

Mailing address

941 6th St S
Kirkland, WA 98033-6712

Phone 425-822-7685 · Fax 425-889-1664

Authorized official

Kerry Martin Atkins
Optometrist
4258227685

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