Organization
MOUNTLAKE TERRACE EYE AND CONTACT LENS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W. BETTS OD (PRESIDENT)
(425) 778-0133
Entity
Organization
Contact information
Practice address
23009 56TH AVE W, STE A, MOUNTLAKE TERRACE, WA 98043-4713
(425) 778-0133
Mailing address
23009 56TH AVE W, STE A, MOUNTLAKE TERRACE, WA 98043-4713
(425) 778-0133
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1415TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000032
—
WA
Enumeration date
03/31/2008
Last updated
04/17/2008
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