Organization
ALAN H. HOMESTEAD OD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN H HOMESTEAD (PRESIDENT)
(206) 767-4737
Entity
Organization
Contact information
Practice address
10252 16TH AVE SW, SEATTLE, WA 98146-1432
(206) 767-4737
Mailing address
10252 16TH AVE SW, SEATTLE, WA 98146-1432
(206) 767-4737
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1428
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2030484
—
WA
Enumeration date
03/20/2007
Last updated
10/02/2007
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