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Contact Information

ALEX ILYIN, OD
205 WEST MAIN STREET
EVERSON, WA98247
 Phone: 360-966-0445
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ALEX ILYIN · (Male)

NPI # 1316039373
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/28/2006
Last updated 11/14/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # OD00003776
  • WA Medicaid 2029098
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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