Organization
EYE DOCTORS NORTHWEST PLLC
Active
Other names
Advanced Eye Care of Covington
Organization subpart
No
Provider details
NPI number
Authorized official
GRADY HOLLENBECK O.D. (PRESIDENT)
(425) 260-6428
Entity
Organization
Contact information
Practice address
17224 SE 272ND ST, STE B, COVINGTON, WA 98042-4953
(253) 528-3939
Mailing address
17224 SE 272ND ST, STE B, COVINGTON, WA 98042-4953
(253) 528-3939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3816
WA
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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