National Provider Identifier Database

PACIFIC EYECARE OF POULISBO PS
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

PACIFIC EYECARE OF POULISBO PS
20669 BOND RD NE
STE 100
POULSBO, WA98370
Phone: 360-779-2020
Fax: 360-779-3093
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for PACIFIC EYECARE OF POULISBO PS

NPI Number 1477542439
Legal business name
LBN
PACIFIC EYECARE OF POULISBO PS
Authorized official DAVID OMORCHOC - (MD/OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/20/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: MD00029555
  • WA Medicaid: 2025633

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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