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Contact Information

EDMONDS VISION CENTER PS INC
201 5TH AVE S STE 102
EDMONDS, WA98020
 Phone: 425-771-7772
 Fax: 425-775-9973
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for EDMONDS VISION CENTER PS INC · (Female)

NPI Number 1437225430
Status Active
Credentials
Entity Individual
Enumeration date 11/28/2006
Last updated 07/11/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # 3276
  • WA Medicaid 2024537
  • WA Medicaid 2024958
  • WA Medicaid 2024966
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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