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Organization

IDAHO FALLS VISION CENTER CHARTERED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL J SAUL O.D. (OPTOMETRIST)
(425) 268-8496
Entity
Organization

Contact information

Practice address
20231 209TH AVE SE, MONROE, WA 98272-9371
(360) 757-5513
Mailing address
600 CASCADE MALL DR, BURLINGTON, WA 98233-3260
(360) 757-5513

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1570TX
WA

Other

Enumeration date
05/08/2008
Last updated
05/08/2008
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