Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
Franciscan Eye Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
CLIFF ROBERTSON (CHIEF MEDICAL OFFICER)
(253) 779-6101
Entity
Organization
Contact information
Practice address
1708 YAKIMA AVE, STE 100, TACOMA, WA 98405-5307
(253) 502-5965
(253) 593-8410
Mailing address
1708 YAKIMA AVE, STE 100, TACOMA, WA 98405-5307
(253) 502-5965
(253) 593-8410
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003435
WA
207W00000X
Ophthalmology Physician
MD00045759
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126510
STATE L&I
WA
05
—
2022655
—
WA
05
—
7119498
—
WA
Enumeration date
08/23/2006
Last updated
06/20/2008
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