Organization
JORGENSON OPTICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN K JORGENSON (PRESIDENT)
(253) 572-4522
Entity
Organization
Contact information
Practice address
1901 S UNION AVE, SUITE B-1001, TACOMA, WA 98405-1702
(253) 572-4522
Mailing address
1901 S UNION AVE, SUITE B-1001, TACOMA, WA 98405-1702
(253) 572-4522
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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