Organization
KINGSTON EYECARE CENTER, LLC
Active
Other names
2020 Eyecare Centers Kingston
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL D BROCKETT OD (OWNER)
(360) 297-2844
Entity
Organization
Contact information
Practice address
25989 BARBER CUT OFF RD NE, KINGSTON, WA 98346-8455
(360) 297-2844
(360) 297-3854
Mailing address
25989 BARBER CUT OFF RD NE, KINGSTON, WA 98346-8455
(360) 297-2844
(360) 297-3854
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
05/13/2008
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