Organization
JENISCH VISION CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IDAAYU R JENISCH OD (MANAGING MEMBER)
(253) 350-1437
Entity
Organization
Contact information
Practice address
5101 S 283RD PL, AUBURN, WA 98001-1927
(253) 840-4909
Mailing address
510 E MAIN STE E, PUYALLUP, WA 98372-5613
(253) 840-4909
(253) 840-4909
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60195908
WA
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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