Organization
TACOMA EYECARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON I GIM O.D. (OWNER)
(253) 588-4225
Entity
Organization
Contact information
Practice address
9115 S TACOMA WAY STE 106, TACOMA, WA 98499-4400
(253) 588-4225
(253) 588-4402
Mailing address
9115 S TACOMA WAY STE 106, TACOMA, WA 98499-4400
(253) 588-4225
(253) 588-4402
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3284
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024421
—
WA
Enumeration date
11/16/2007
Last updated
04/26/2011
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