Organization
SPANAWAY EYECARE, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA FREDERICKSON (PRESIDENT)
(253) 324-8764
Entity
Organization
Contact information
Practice address
20307 MOUNTAIN HWY E, SPANAWAY, WA 98387-8101
(253) 324-8764
(253) 846-7986
Mailing address
1314 182ND STREET CT E, SPANAWAY, WA 98387-1917
(253) 324-8764
(253) 964-1696
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3574
WA
Other
Enumeration date
09/24/2009
Last updated
12/12/2023
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