Organization
ALDERWOOD OPTOMETRIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA MCKINNEY O.D. (OWNER)
(425) 771-2662
Entity
Organization
Contact information
Practice address
2502 196TH ST SW STE 14, LYNNWOOD, WA 98036-7091
(425) 772-2662
Mailing address
2502 196TH ST SW STE 14, LYNNWOOD, WA 98036-7091
(425) 772-2662
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60294865
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2023596
—
WA
Enumeration date
01/13/2017
Last updated
02/14/2018
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