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Contact Information

BLUE WAVE EYE DOCTORS PROFESSIONAL LIMITED LIABILITY COMPANY
11066 PACIFIC CREST PL NW STE A140
SILVERDALE, WA98383-6604
 Phone: 360-228-2740
 Fax: 360-447-6031
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for BLUE WAVE EYE DOCTORS PROFESSIONAL LIMITED LIABILITY COMPANY

NPI Number 1295505931
LBN Legal business name BLUE WAVE EYE DOCTORS PROFESSIONAL LIMITED LIABILITY COMPANY
Authorized official DOLSIE MCDONALD - (MANAGER OF NETWORK MANAGEMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/04/2024
Last updated 08/12/2024 - More than a year ago
Identifiers n/a
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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