Organization
KITSAP EYECARE CENTERS INC PS
Active
Other names
Poulsbo Eyecare Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY G. HEDAHL O.D. (PRESIDENT)
(360) 779-2336
Entity
Organization
Contact information
Practice address
19220 8TH AVE NE, SUITE A, POULSBO, WA 98370-8773
(360) 779-2336
(360) 779-7628
Mailing address
19220 8TH AVE NE STE A, POULSBO, WA 98370-8773
(360) 779-2336
(360) 779-7628
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
601379904
WA
Other
Enumeration date
12/06/2006
Last updated
06/11/2021
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