Organization
DAVIS OPTICAL XPRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM MELTON (OWNER)
(425) 392-7876
Entity
Organization
Contact information
Practice address
4323 UNIVERSITY WAY NE, SEATTLE, WA 98105-5808
(206) 633-5225
Mailing address
4323 UNIVERSITY WAY NE, SEATTLE, WA 98105-5808
(206) 633-5225
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DO00000515
WA
Other
Enumeration date
07/16/2011
Last updated
07/16/2011
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