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Contact Information

JOHN E CLAVADETSCHER, OD
21005 44TH AVE W
SUITE 102
MOUNTLAKE TERRACE, WA98043-3584
 Phone: 425-775-7144
 Fax: 425-673-7885
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JOHN E CLAVADETSCHER · (Male)

NPI Number 1588619670
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/24/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # 3280TX
  • WA Medicaid 8026031
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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