Organization
EYEJOA OPTICAL, LLC
Active
Other names
Eyejoa Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN T. BAE (GENERAL PARTNER)
(253) 582-3698
Entity
Organization
Contact information
Practice address
8705 S TACOMA WAY, LAKEWOOD, WA 98499-4544
(253) 582-3698
Mailing address
8705 S TACOMA WAY, LAKEWOOD, WA 98499-4544
(253) 582-3698
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4020TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2031326
—
WA
01
—
8705WA
REGENCE PROVIDER ID
WA
Enumeration date
02/22/2007
Last updated
08/22/2020
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