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Contact Information

HERBERT W COURTNEY JR, OD
14841 179TH AVE SE
STE 110
MONROE, WA98272-1127
 Phone: 360-794-2020
 Fax: 360-794-7631
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for HERBERT W COURTNEY JR · (Male)

NPI Number 1184770398
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/28/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 1472TX
  • WA Medicaid 2001881
  • WA Other 3242CO BLUE CROSS PIN
  • WA Other 156303 LABOR AND INDUSTRIEDS PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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