Organization
EYE SOCIETY MILL CREEK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERIN K TAGUCHI OD (OPTOMETRIST/PRESIDENT)
(425) 232-7164
Entity
Organization
Contact information
Practice address
700 110TH AVE NE STE 255, BELLEVUE, WA 98004-5151
(425) 453-9691
(425) 453-9812
Mailing address
15407 MAIN ST # E103, MILL CREEK, WA 98012-7375
(425) 357-8234
(425) 357-1333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3686
WA
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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