STANWOOD EYE CLINIC, INC; NPI #1902077373

Contact Information

STANWOOD EYE CLINIC, INC

27101 PIONEER HWY
STANWOOD, WA 98292

Phone: 360-629-9535
Fax: 360-629-9536
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 STANWOOD EYE CLINIC, INC

NPI Number 1902077373

LBN Legal business name STANWOOD EYE CLINIC, INC

Authorized official TIMOTHY NIXON - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/13/2008

Last updated 03/13/2008 - About 18 years ago

Identifiers

WA	License #	1505TX
WA	Medicaid	2022689

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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STANWOOD EYE CLINIC, INC

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for STANWOOD EYE CLINIC, INC

Reviews for STANWOOD EYE CLINIC, INC