Organization
KING LASIK INC PS
Active
Organization
KING LASIK INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL J COUWENBERG (BILLING MANAGER)
(206) 915-5173
Entity
Organization
Contact information
Practice address
900 SW 16TH ST, RENTON, WA 98057-2631
(425) 525-1000
(425) 525-1001
Mailing address
PO BOX 47148, SEATTLE, WA 98146-7148
(425) 525-1000
(425) 525-1001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
3260
WA
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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