Organization
MT. BAKER VISION CLINC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARYS ADAMS (OFFICE MANAGER)
(360) 733-1720
Entity
Organization
Contact information
Practice address
720 BIRCHWOOD AVE, BELLINGHAM, WA 98225-1714
(360) 733-1720
(360) 733-0109
Mailing address
PO BOX 5566, BELLINGHAM, WA 98227-5566
(360) 733-1720
(360) 733-0109
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2635506
—
WA
01
—
DH0545
RAILROAD MEDICARE
WA
Enumeration date
04/25/2007
Last updated
08/30/2010
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