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Contact Information

SEQUIM VISION CLINIC PS
541 NORTH 5TH AVENUE
SEQUIM, WA98382
 Phone: 360-683-3389
 Fax: 360-683-7069
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SEQUIM VISION CLINIC PS · (Female)

NPI # 1700070158
Status Active
Credentials
Entity Individual
Enumeration date 08/29/2007
Last updated 08/28/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # 601357086
  • WA Other CS1723 RR MEDICARE GROUP ID#
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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