Organization
MOUNTAIN VIEW EYE CARE CENTER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS JANKOWSKI OD (OWNER)
(360) 253-4405
Entity
Organization
Contact information
Practice address
1405 SE 164TH AVE STE 102, VANCOUVER, WA 98683-9644
(360) 253-4405
Mailing address
14415 SE MILL PLAIN BLVD, STE. 115-B, VANCOUVER, WA 98684-3543
(360) 253-4405
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2008217
—
WA
05
—
2024081
—
WA
Enumeration date
06/09/2010
Last updated
06/27/2024
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