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Contact Information

ANGELES VISION CLINIC, INC.
811 GEORGIANA ST
PORT ANGELES, WA98362-3511
 Phone: 360-452-7661
 Fax: 360-417-0254
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for ANGELES VISION CLINIC, INC.

NPI # 1265607071
LBN Legal business name ANGELES VISION CLINIC, INC.
Authorized official KIRK THOMPSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2008
Last updated 11/08/2012 - About 14 years ago
Identifiers
WA License # 1267TX
WA Medicaid 2025484
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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