Organization
NORTHWEST EYECARE NETWORK
Active
Other names
Optic Gallery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUNA MAZZULLA OD (OWNER)
(253) 867-1616
Entity
Organization
Contact information
Practice address
420 W SMITH ST, SUITE 105, KENT, WA 98032-4423
(253) 867-1616
(253) 867-1618
Mailing address
420 W SMITH ST, SUITE 105, KENT, WA 98032-4423
(253) 867-1616
(253) 867-1618
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3661TX
WA
152W00000X
Optometrist
—
WA
Other
Enumeration date
07/29/2009
Last updated
03/06/2017
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