Organization
ANGELES VISION CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK L. THOMPSON OD (OWNER)
(360) 452-7661
Entity
Organization
Contact information
Practice address
811 GEORGIANA ST, PORT ANGELES, WA 98362-3511
(360) 452-7661
(360) 417-0254
Mailing address
811 GEORGIANA ST, PORT ANGELES, WA 98362-3511
(360) 452-7661
(360) 417-0254
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
1267TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2025484
—
WA
Enumeration date
04/23/2008
Last updated
11/08/2012
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