Organization
BRIGHT EYES, INC.
Active
Other names
Juanita Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN JUE OD (PRESIDENT)
(206) 355-0282
Entity
Organization
Contact information
Practice address
11314 NE 124TH ST, KIRKLAND, WA 98034-4303
(425) 821-5050
(425) 821-0508
Mailing address
11314 NE 124TH ST, KIRKLAND, WA 98034-4303
(425) 821-5050
(425) 821-0508
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OD60017736
WA
152W00000X
Optometrist
Primary
OD60095437
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528296811
NPI - INDIVIDUAL
WA
Enumeration date
08/11/2011
Last updated
08/11/2011
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