Organization
BLUE WAVE EYE DOCTORS PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLSIE MCDONALD (NETWORK MANAGER)
(726) 444-4078
Entity
Organization
Contact information
Practice address
305 SE EVERETT MALL WAY STE 21, EVERETT, WA 98208-3250
(425) 386-8428
(425) 267-0575
Mailing address
175 E HOUSTON ST, SAN ANTONIO, TX 78205-2299
(726) 444-4078
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
05/14/2024
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