Organization
MICHAEL J FLEMING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE L LAMOND (BILLING PERSON)
(425) 239-5757
Entity
Organization
Contact information
Practice address
621 STATE ROUTE 9 NE, LAKE STEVENS, WA 98258-8525
(425) 239-5757
(866) 755-2856
Mailing address
621 STATE ROUTE 9 NE, LAKE STEVENS, WA 98258-8525
(425) 239-5757
(866) 002-1848
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD 00001709
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038578
—
WA
Enumeration date
06/11/2010
Last updated
06/11/2010
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