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Contact Information

WHIDBEY VISION CARE INC PS
1690 MAIN ST
STE 103
FREELAND, WA98249
 Phone: 360-331-8424
 Fax: 360-331-8425
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for WHIDBEY VISION CARE INC PS

NPI # 1124199435
LBN Legal business name WHIDBEY VISION CARE INC PS
Authorized official HOLLI JOHNSON - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/10/2006
Last updated 04/07/2016 - About 10 years ago
Identifiers
WA License # OD00003150
WA License # OD00003987
WA License # OD00004139
WA Medicaid 2006765
WA Medicaid 2031367
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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