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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
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