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Organization

EYECARE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE A BEAULAURIER OD (GEN PTR)
(425) 455-0001
Entity
Organization

Contact information

Practice address
12310 NE 8TH ST, STE 101, BELLEVUE, WA 98005-3185
(425) 455-0001
(425) 462-7387
Mailing address
12310 NE 8TH ST, STE 101, BELLEVUE, WA 98005-3185
(425) 455-0001
(425) 462-7387

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1464
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2080901
WA
Enumeration date
09/20/2005
Last updated
10/15/2008
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