Organization
EYEDENTITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY MARTIN ATKINS O.D. (OPTOMETRIST)
(425) 822-7685
Entity
Organization
Contact information
Practice address
941 6TH ST S, KIRKLAND, WA 98033-6712
(425) 822-7685
(425) 889-1664
Mailing address
941 6TH ST S, KIRKLAND, WA 98033-6712
(425) 822-7685
(425) 889-1664
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1750
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019784
—
WA
Enumeration date
07/20/2007
Last updated
06/19/2008
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