Organization
RENTON VISION CLINIC PLLC
Active
Other names
Renton Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NASIM JAVAHERI O.D. (OWNER / MANAGER)
(425) 228-3364
Entity
Organization
Contact information
Practice address
3218 NE 12TH ST, SUITE A, RENTON, WA 98056-3405
(425) 228-3364
(425) 228-3378
Mailing address
3218 NE 12TH ST, SUITE A, RENTON, WA 98056-3405
(425) 228-3364
(425) 228-3378
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60166211
WA
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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