Organization
NORTHWEST OPTICAL VISION CENTER INC.
Active
Other names
Northwest Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY MAY JACKL L.D.O (OPTICIAN/PRESIDENT)
(253) 572-5498
Entity
Organization
Contact information
Practice address
7501 BRIDGEPORT WAY W STE C, LAKEWOOD, WA 98499-2423
(253) 572-5498
(253) 409-2841
Mailing address
7501 BRIDGEPORT WAY W STE C, LAKEWOOD, WA 98499-2423
(253) 572-5498
(253) 409-2841
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO00001821
WA
Other
Enumeration date
10/03/2006
Last updated
05/23/2022
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