Organization
20/20 EYECARE CENTERS INC PS
Active
Other names
Eyeland Optical
Organization subpart
No
Provider details
NPI number
Authorized official
JON M WILLEMS OD (OWNER)
(206) 463-2020
Entity
Organization
Contact information
Practice address
17609 VASHON HWY SW, VASHON, WA 98070-5204
(206) 463-2020
(206) 463-2049
Mailing address
PO BOX 706, VASHON, WA 98070-5204
(206) 463-2020
(206) 463-2043
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2024420
—
WA
Enumeration date
11/17/2006
Last updated
05/28/2008
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