OLYMPIC PEAKS OPTICAL; NPI #1740483056

Contact Information

OLYMPIC PEAKS OPTICAL

1740 POTTERY AVE
SUITE 100
PORT ORCHARD, WA 98366

Phone: 360-895-0847
Fax: 360-876-5771
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 OLYMPIC PEAKS OPTICAL

NPI Number 1740483056

LBN Legal business name OLYMPIC PEAKS OPTICAL

Authorized official DALE HOLDREN - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/06/2007

Last updated 01/03/2012 - About 14 years ago

Identifiers

License #

0025209MD0003187

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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OLYMPIC PEAKS OPTICAL

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for OLYMPIC PEAKS OPTICAL

Reviews for OLYMPIC PEAKS OPTICAL