Individual
DR. NEIL SCOTT EBERHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1427 N LAVENTURE RD, MOUNT VERNON, WA 98273-2765
(360) 424-0553
(360) 424-9603
Mailing address
1427 N LAVENTURE RD, MOUNT VERNON, WA 98273-2765
(360) 424-0553
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1991
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013597
—
WA
Enumeration date
01/03/2007
Last updated
07/08/2007
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