# NORTHWEST EYE CLINIC INC., PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northwest Eye Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861572034
- **Authorized official:** VINCENT E. MATTEUCCI M.D. (TREASURER)
- **Authorized official phone:** (360) 733-4800

## Contact information

- **Practice address:** 3015 SQUALICUM PARKWAY, SUITE 260, BELLINGHAM, WA 98225-1945
- **Practice address phone:** (360) 733-4800
- **Practice address fax:** (360) 733-2879
- **Mailing address:** 3015 SQUALICUM PARKWAY, SUITE 260, BELLINGHAM, WA 98225-1945
- **Mailing address phone:** (360) 733-4800
- **Mailing address fax:** (360) 733-2879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 08/29/2012