Organization
JACKSON VISION CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA HOANG (DIRECTOR)
(206) 395-2266
Entity
Organization
Contact information
Practice address
3324 RAINIER AVE S, SEATTLE, WA 98144-6034
(206) 322-6915
(206) 395-2315
Mailing address
3324 RAINIER AVE S, SEATTLE, WA 98144-6034
(206) 322-6915
(206) 395-2315
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD3718
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2026425
—
WA
Enumeration date
09/04/2007
Last updated
03/28/2024
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