Organization
JOSEPH S WALD ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH S WALD OD (OWNER)
(360) 755-9211
Entity
Organization
Contact information
Practice address
855 S ALDER ST, SUITE A, BURLINGTON, WA 98233-1819
(360) 755-9211
(360) 755-0501
Mailing address
855 S ALDER ST, SUITE A, BURLINGTON, WA 98233-2808
(360) 755-9211
(360) 755-0501
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3634
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029593
—
WA
Enumeration date
04/29/2008
Last updated
09/22/2015
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