Individual
BRETT DAVID LLEWELLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
342 15TH AVE E, SEATTLE, WA 98112-5103
(206) 625-9061
Mailing address
6813 19TH AVE NE, SEATTLE, WA 98115-6941
(206) 367-5362
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WA3212TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019024
—
WA
Enumeration date
11/15/2006
Last updated
07/08/2007
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