Individual
PATRICIA MIESOOK OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D., M.S.
Contact information
Practice address
11800 NE 128TH ST STE 300, KIRKLAND, WA 98034-7211
(425) 821-8004
(425) 820-9860
Mailing address
11800 NE 128TH ST STE 300, KIRKLAND, WA 98034-7211
(425) 821-8004
(425) 820-9860
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60149599
WA
152WL0500X
Low Vision Rehabilitation Optometrist
OD60149599
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0280861
DEPT OF LABOR & INDUSTRIES
WA
05
—
1144534470
—
WA
Enumeration date
07/28/2010
Last updated
08/25/2011
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