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Contact Information

JON C CONVERSE, OD
10516 SILVERDALE WAY NW STE 104
SILVERDALE, WA98383-8745
 Phone: 360-307-7400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JON C CONVERSE · (Male)

NPI Number 1356523807
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/27/2007
Last updated 04/05/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 3170TX
  • WA Medicaid 2019263
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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