Organization
VISION PLUS OF BALLARD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK PYLE O.D. (OWNER)
(206) 784-0700
Entity
Organization
Contact information
Practice address
5406 LEARY AVE NW, SEATTLE, WA 98107-4068
(206) 784-0700
(206) 706-8822
Mailing address
5406 LEARY AVE NW, SEATTLE, WA 98107-4068
(206) 784-0700
(206) 706-8822
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60110615
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2028491
—
WA
Enumeration date
05/24/2013
Last updated
11/19/2013
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