National Provider Identifier Database

MAPLE VALLEY VISION CLINIC PLLC
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

MAPLE VALLEY VISION CLINIC PLLC
23714 222ND PL SE STE B
MAPLE VALLEY, WA98038
Phone: 425-432-1206
Fax: 425-413-4465
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for MAPLE VALLEY VISION CLINIC PLLC

NPI Number 1558475558
Legal business name
LBN
MAPLE VALLEY VISION CLINIC PLLC
Authorized official SCOTT BENNION - (MEMBER/MANAGER)
Entity Organization
Organization subpart No
Enumeration date 08/18/2006
Last updated 07/31/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: WA1115TX
  • WA Medicaid: 2032050

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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