Organization
MILTON-EDGEWOOD EYE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA A ERICKSON O.D. (MANAGING MEMBER)
(253) 927-5252
Entity
Organization
Contact information
Practice address
900 MERIDIAN E STE 18, MILTON, WA 98354-7003
(253) 927-5252
(253) 927-4270
Mailing address
900 MERIDIAN E STE 18, MILTON, WA 98354-7003
(253) 927-5252
(253) 927-4270
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003106
WA
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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