Organization
EYEKEA VISION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA NGUYEN O.D. (OPTOMETRIC PHYSICIAN)
(253) 476-2874
Entity
Organization
Contact information
Practice address
4051 TACOMA MALL BLVD, TACOMA, WA 98409-7287
(253) 476-2874
Mailing address
4051 TACOMA MALL BLVD, TACOMA, WA 98409-7287
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
OD60213875
WA
Other
Enumeration date
02/25/2013
Last updated
02/07/2014
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