Organization
PACIFIC EYE CARE OF POULSBO PS
Active
Organization
PACIFIC EYE CARE OF POULSBO PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LIN (OPTHALMOLOGIST)
(360) 779-2020
Entity
Organization
Contact information
Practice address
20669 BOND RD NE, STE 100, POULSBO, WA 98370-6525
(360) 779-2020
(360) 779-3093
Mailing address
20669 BOND RD NE, STE 100, POULSBO, WA 98370-6525
(360) 779-2020
(360) 779-3093
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
WA
207W00000X
Ophthalmology Physician
Primary
MD00029555
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018968
—
WA
05
—
7074982
—
WA
01
—
G115140600
MEDICARE PART B
WA
Enumeration date
10/20/2005
Last updated
09/22/2021
Update your record
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