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Contact Information

SPENCER GARLICK OPTOMETRY, PLLC
6314 19TH ST W #1
FIRCREST, WA98466-6223
 Phone: 253-566-2020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for SPENCER GARLICK OPTOMETRY, PLLC

NPI Number 1588798896
LBN Legal business name SPENCER GARLICK OPTOMETRY, PLLC
Authorized official WENDY DITSCH - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/16/2007
Last updated 06/17/2020 - About 6 years ago
Identifiers
WA License # OD1362
WA Medicaid 2073005
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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