Individual
JON CHARLES CONVERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10516 SILVERDALE WAY NW STE 104, SILVERDALE, WA 98383-8745
(360) 307-7400
Mailing address
10516 SILVERDALE WAY NW STE 104, SILVERDALE, WA 98383-8745
(360) 307-7400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3170TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019263
—
WA
Enumeration date
11/27/2007
Last updated
04/05/2021
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