Organization
VISION PLUS INSIDE FERNDALE HAGGEN
Active
Other names
Vision Plus
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DORON AGINSKY OD (PRESIDENT)
(360) 393-4000
Entity
Organization
Contact information
Practice address
1815 MAIN ST, FERNDALE, WA 98248-9454
(360) 393-4000
(360) 393-4004
Mailing address
1815 MAIN ST, FERNDALE, WA 98248-9454
(360) 393-4000
(360) 393-4004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
152W0000X
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006335
—
WA
05
—
2035046
—
WA
Enumeration date
09/25/2008
Last updated
10/23/2010
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