Organization
DR. SNOWDEN M BOOTH
Active
Other names
Burien Eyecare Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SNOWDEN M BOOTH OD (OPTOMETRIC PHYSICIAN)
(206) 242-8545
Entity
Organization
Contact information
Practice address
625 SW 153RD ST, BURIEN, WA 98166-2216
(206) 242-8545
(206) 244-2020
Mailing address
625 SW 153RD ST, BURIEN, WA 98166-2216
(206) 242-8545
(206) 244-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OL796
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000100550
MEDICARE ID-TYPE UNSPECIFIED
WA
05
—
2082600
—
WA
Enumeration date
07/12/2007
Last updated
03/12/2009
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