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Contact Information

BAINBRIDGE VISION INC PS
345 KNECHTEL WAY NE
SUITE 104
BAINBRIDGE ISLAND, WA98110-2860
 Phone: 206-842-6604
 Fax: 206-842-6605
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

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

NPI # 1659312056
Status Active
Credentials
Entity Individual
Enumeration date 06/09/2006
Last updated 03/24/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # 2067
  • WA Medicaid 20233273
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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