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Contact Information

BRIDGEPORT FAMILY VISION CLINIC, PLLC
9101 BRIDGEPORT WAY SW
SUITE C
LAKEWOOD, WA98499-2419
 Phone: 253-584-2020
 Fax: 253-588-0545
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BRIDGEPORT FAMILY VISION CLINIC PLLC · (Female)

NPI Number 1235517541
Status Active
Credentials
Entity Individual
Enumeration date 05/07/2015
Last updated 04/04/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # OD1574
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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