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Organization

EAST MAIN VISION CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH DAY O.D. (OPTOMETRIC PHYSICIAN)
(253) 770-2732
Entity
Organization

Contact information

Practice address
2732 EAST MAIN, PUYALLUP, WA 98372
(253) 770-2732
(253) 770-1023
Mailing address
2732 E MAIN, SUITE 200, PUYALLUP, WA 98372-3164
(253) 770-2732
(253) 770-1023

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1704TX
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2032936
WA
Enumeration date
06/08/2007
Last updated
11/07/2012
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