PACIFIC EYECARE OF POULISBO PS; NPI #1477542439

Contact Information

PACIFIC EYECARE OF POULISBO PS

20669 BOND RD NE
STE 100
POULSBO, WA 98370

Phone: 360-779-2020
Fax: 360-779-3093
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for PACIFIC EYECARE OF POULISBO PS

NPI Number 1477542439

LBN Legal business name PACIFIC EYECARE OF POULISBO PS

Authorized official DAVID OMORCHOC - (MD/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/20/2005

Last updated 08/22/2020 - About 6 years ago

Identifiers

WA	License #	MD00029555
WA	Medicaid	2025633

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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PACIFIC EYECARE OF POULISBO PS

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for PACIFIC EYECARE OF POULISBO PS

Reviews for PACIFIC EYECARE OF POULISBO PS