Organization
EYE SOCIETY MILL CREEK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERIN KEN TAGUCHI OD (PRESIDENT)
(425) 357-8234
Entity
Organization
Contact information
Practice address
15407 MAIN ST # E103, MILL CREEK, WA 98012-7375
(425) 357-8234
(425) 357-1333
Mailing address
15407 MAIN ST # E103, MILL CREEK, WA 98012-7375
(425) 357-8234
(425) 357-1333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3686
WA
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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