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Organization

DRS GREEN AND SUNDHOLM ENT INC PS

Active
Parent organization
DRS GREEN AND SUNDHOLM ENT INC PS
Other names
Binyon Optometrists
Organization subpart
Yes

Provider details

NPI number
Legal business name
DRS GREEN AND SUNDHOLM ENT INC PS
Authorized official
DR. JEFFRY ALAN GREEN OD (OPTOMETRIST OWNER)
(425) 252-1231
Entity
Organization

Contact information

Practice address
2522 COLBY AVE, EVERETT, WA 98201
(425) 252-1231
(425) 257-9881
Mailing address
2522 COLBY AVE, EVERETT, WA 98201
(425) 252-1231
(425) 257-9881

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2020634
WA
Enumeration date
08/06/2007
Last updated
08/06/2007
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