Organization
TACOMA EYE SURGEONS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW KOPSTEIN MD (PRESIDENT)
(253) 301-4953
Entity
Organization
Contact information
Practice address
502 S M ST, TACOMA, WA 98405-3728
(253) 301-4953
(866) 482-0873
Mailing address
502 S M ST, TACOMA, WA 98405-3728
(253) 301-4953
(866) 482-0873
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
37629
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124050117
INDIV NPI
WA
01
—
37629
WA MD
WA
Enumeration date
11/04/2013
Last updated
11/04/2013
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