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Contact Information

WIILARD E BUCHANAN, OD
1135 BETHEL AVE
PORT ORCHARD, WA98366-3125
 Phone: 360-895-2020
 Fax: 360-874-0048
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for WIILARD E BUCHANAN · (Male)

NPI # 1699763219
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/07/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # OD00001118
  • WA Medicaid 2023539
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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