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Contact Information

ALDERWOOD OPTOMETRIC SERVICES PLLC
2502 196TH ST SW STE 14
LYNNWOOD, WA98036-7091
 Phone: 425-772-2662
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ALDERWOOD OPTOMETRIC SERVICES PLLC

NPI Number 1154867125
LBN Legal business name ALDERWOOD OPTOMETRIC SERVICES PLLC
Authorized official ANDREA MCKINNEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/13/2017
Last updated 02/14/2018 - About 8 years ago
Identifiers
WA License # OD60294865
WA Medicaid 2023596
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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