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Contact Information

EDMONDS VISION CENTER PS INC
201 5TH AVE S STE 102
EDMONDS, WA98020
 Phone: 425-771-7772
 Fax: 425-775-9973
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for EDMONDS VISION CENTER PS INC

NPI Number 1437225430
LBN Legal business name EDMONDS VISION CENTER PS INC
Authorized official ARTHUR WONG - (OPTOMETRIST OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/28/2006
Last updated 07/11/2018 - About 8 years ago
Identifiers
WA License # 3276
WA Medicaid 2024537
WA Medicaid 2024958
WA Medicaid 2024966
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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