Organization
DUPONT FAMILY VISION CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DALE SHAFFER (OWNER)
(253) 912-0900
Entity
Organization
Contact information
Practice address
1570 WILMINGTON DR STE 160, DUPONT, WA 98327-8773
(253) 912-0900
Mailing address
1570 WILMINGTON DR STE 160, DUPONT, WA 98327-8773
(253) 912-0900
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1618TX
CA
Other
Enumeration date
02/07/2008
Last updated
11/17/2011
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