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Contact Information

NATHAN J BIANCARDI, OD
26 W H ST
DEER PARK, WA99006-7167
 Phone: 509-276-6932
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for NATHAN J BIANCARDI · (Male)

NPI Number 1972160976
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/24/2019
Last updated 06/20/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WA License # OD60964013
  • WA Medicaid 2135284
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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