Individual
DR. MARIANN JEAN TONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
19220 8TH AVE NE STE A, POULSBO, WA 98370-8773
(360) 779-2336
(360) 779-7628
Mailing address
19220 8TH AVE NE STE A, POULSBO, WA 98370-8773
(360) 779-2336
(360) 779-7628
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003052
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015782
—
WA
01
—
26185
PREMERA BLUE CROSS
WA
01
—
91155102308
KPS HEALTH PLANS
WA
01
—
T02279
REGENCE BLUESHIELD
WA
Enumeration date
08/29/2006
Last updated
06/18/2021
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