Individual
MICHAEL A SECREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
301 S 320TH ST, FEDERAL WAY, WA 98003-5200
(253) 874-7557
(253) 874-7557
Mailing address
301 S 320TH ST, FEDERAL WAY, WA 98003-5200
(253) 874-7557
(253) 874-7557
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003346
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022994
—
WA
Enumeration date
01/18/2007
Last updated
05/03/2021
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