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Organization

NORTHEND OPTICAL INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DIANE J BLAIR LDO (SEC. TREAS.)
(253) 759-2299
Entity
Organization

Contact information

Practice address
5917 N 26TH ST, SUITE C, TACOMA, WA 98407-2359
(253) 759-2299
(253) 752-4930
Mailing address
5917 N 26TH ST, SUITE C, TACOMA, WA 98407-2359
(253) 759-2299
(253) 752-4930

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2016269
WA
Enumeration date
05/15/2007
Last updated
08/22/2020
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