Organization
OLYMPIC PEAKS OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE NORMAN HOLDREN MD (OWNER)
(360) 377-3703
Entity
Organization
Contact information
Practice address
2655 WHEATON WAY, BREMERTON, WA 98310
(360) 377-0097
(360) 377-9469
Mailing address
2655 WHEATON WAY, BREMERTON, WA 98310
(360) 377-0097
(360) 377-9469
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
0025209MD00031837
WA
Other
Enumeration date
05/14/2007
Last updated
12/13/2007
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