# CEDAR MEDICAL SPECIALTIES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Allenmore Optical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760515084
- **Authorized official:** ROBYN WALLACE (ADMINISTRATOR)
- **Authorized official phone:** (253) 759-5555

## Contact information

- **Practice address:** 2202 S CEDAR ST STE 100, TACOMA, WA 98405-2318
- **Practice address phone:** (253) 759-5555
- **Practice address fax:** (253) 759-2123
- **Mailing address:** 2202 S CEDAR ST STE 100, TACOMA, WA 98405-2318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | — | NULL | Yes |
| 156FX1800X | Optician | — | — | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 09/08/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2017267 | — | WA |