Shaun Keith Coombs, OD
Optometrist in Olympia, WA. Individual provider (NPI-1).
NPI number1619084910
StatusActive
Last updated in NPPESNov 19, 2020
Details
- NPI
- 1619084910
- Entity type
- Individual (NPI-1)
- Name
- Shaun Keith Coombs
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2006
- Certification date
- Nov 19, 2020
- Last updated
- Nov 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OD00003477 | WA | Yes |
| 152W00000X | Optometrist | ATI2863 | OR | |
| 152W00000X | Optometrist | OPTT200 | AK |
Practice location
115 New View Ct NeOlympia, WA 98506-5250
Phone 360-252-1642 · Fax 360-252-1646
Mailing address
Po Box 1506Chehalis, WA 98532-0409
Phone 360-242-3008 · Fax 360-807-7687
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