Organization
BRIDGEPORT FAMILY VISION CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMRIT L JAWANDA O.D. (OD, OWNER)
(535) 880-5452
Entity
Organization
Contact information
Practice address
9101 BRIDGEPORT WAY SW, SUITE C, LAKEWOOD, WA 98499-2419
(253) 584-2020
(253) 588-0545
Mailing address
9101 BRIDGEPORT WAY SW, SUITE C, LAKEWOOD, WA 98499-2419
(253) 588-2254
(253) 588-0545
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD1574
WA
Other
Enumeration date
05/07/2015
Last updated
04/04/2025
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