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Contact Information

ALDERWOOD VISION CLINIC, INC. P.S.
18631 ALDERWOOD MALL PKWY STE 105
LYNNWOOD, WA98037-8057
 Phone: 425-771-2662
 Fax: 425-670-2333
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ALDERWOOD VISION CLINIC, INC. P.S.

NPI # 1396829123
LBN Legal business name ALDERWOOD VISION CLINIC, INC. P.S.
Authorized official IVAN HYDE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2006
Last updated 07/02/2008 - About 18 years ago
Identifiers
WA License # 600387275
WA Medicaid 2001873
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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