Organization
PEARL OPTICAL INC P S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D NOBLE OD (PRESIDENT)
(206) 246-5430
Entity
Organization
Contact information
Practice address
407 BAKER BLVD, TUKWILA, WA 98188-2906
(206) 246-5430
(206) 246-7826
Mailing address
407 BAKER BLVD, TUKWILA, WA 98188-2906
(206) 246-5430
(206) 246-7826
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1426TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G217112300
OLD PIN
WA
Enumeration date
10/18/2007
Last updated
10/08/2021
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