Organization
NOVA EYE CARE INC
Active
Other names
Nova Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN W JANG O.D. (PRESIDENT)
(425) 742-3777
Entity
Organization
Contact information
Practice address
17410 HIGHWAY 99, SUITE 110, LYNNWOOD, WA 98037-3632
(425) 742-3777
(425) 742-8695
Mailing address
17410 HIGHWAY 99, SUITE 110, LYNNWOOD, WA 98037-3632
(425) 742-3777
(425) 742-8695
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3500
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100000125710
REGENCE BLUESHIELD
WA
05
—
2032191
—
WA
Enumeration date
03/05/2007
Last updated
08/23/2014
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