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Organization
NORTHWEST OPTICAL VISION CENTER INC.
Active
Organization
NORTHWEST OPTICAL VISION CENTER INC.
Active
Other names
Northwest Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY MAY JACKL L.D.O (OPTICIAN/PRESIDENT)
(253) 572-5498
Entity
Organization
Contact information
Practice address
7501 BRIDGEPORT WAY W STE C, LAKEWOOD, WA 98499-2423
(253) 572-5498
(253) 409-2841
Mailing address
7501 BRIDGEPORT WAY W STE C, LAKEWOOD, WA 98499-2423
(253) 572-5498
(253) 409-2841
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO00001821
WA
Other
Enumeration date
10/03/2006
Last updated
05/23/2022
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