KITSAP OPTICAL INC; NPI #1669545075

Contact Information

KITSAP OPTICAL INC

3260 N.W. MOUNT VINTAGE WAY
SU
SILVERDALE, WA 98383

Phone: 360-698-1685
Fax: 360-698-1763
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 KITSAP OPTICAL INC

NPI # 1669545075

LBN Legal business name KITSAP OPTICAL INC

Authorized official LINDA JOHNSON - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/15/2006

Last updated 08/21/2008 - About 18 years ago

Identifiers

WA	License #	C600620889
WA	Medicaid	2077600

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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KITSAP OPTICAL INC

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for KITSAP OPTICAL INC

Reviews for KITSAP OPTICAL INC