Individual
MR. RIKK JEREMY SCHLAFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
BL0500877
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0337210001
DMERC PROVIDER NUMBER
WA
05
—
2105807
—
WA
01
—
SC7561
REGENCE PROVIDER NUMBER
WA
Enumeration date
09/20/2006
Last updated
05/15/2012
Update your record
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