Organization
MARYSVILLE VISION SOURCE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSIE LI-WEI LIU O.D. (OPTOMETRIC PHYSICIAN/OWNER)
(360) 659-6255
Entity
Organization
Contact information
Practice address
1098 ALDER AVE, MARYSVILLE, WA 98270-4318
(360) 659-6255
(360) 653-2466
Mailing address
1098 ALDER AVE, MARYSVILLE, WA 98270-4318
(360) 659-6255
(360) 653-2466
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60304885
WA
Other
Enumeration date
08/06/2016
Last updated
10/19/2016
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