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BLUE WAVE EYE DOCTORS PROFESSIONAL LIMITED LIABILITY COMPANY

Eyewear Supplier

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

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Contact Information

BLUE WAVE EYE DOCTORS PROFESSIONAL LIMITED LIABILITY COMPANY
921 N 10TH ST STE B
RENTON, WA  98057-5591
 Phone: 425-255-1022
 Fax: 425-255-1176
 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 # 1881313047
LBN Legal business name BLUE WAVE EYE DOCTORS PROFESSIONAL LIMITED LIABILITY COMPANY
Authorized official DOLSIE MCDONALD - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2022
Last updated 08/23/2022 - About 4 years 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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