Organization
WHIDBEY VISION CARE INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLI JOHNSON (ADMINISTRATOR)
(360) 675-2235
Entity
Organization
Contact information
Practice address
1690 MAIN ST, STE 103, FREELAND, WA 98249
(360) 331-8424
(360) 331-8425
Mailing address
PO BOX 1048, FREELAND, WA 98249-1048
(360) 331-8424
(360) 331-8425
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003150
WA
152W00000X
Optometrist
OD00003987
WA
152W00000X
Optometrist
OD00004139
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006765
—
WA
05
—
2031367
—
WA
Enumeration date
11/10/2006
Last updated
04/07/2016
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