Individual
GEORGE B SYMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1122 E FRONT ST, PORT ANGELES, WA 98362-4308
(360) 457-1161
(360) 457-2806
Mailing address
1122 E FRONT ST, PORT ANGELES, WA 98362-4308
(360) 457-1161
(360) 457-2806
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001757
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D00001757
WA
—
05
—
2006096
—
WA
01
—
G000500197
MEDICARE ID-PIN
WA
Enumeration date
07/26/2005
Last updated
03/07/2023
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