Individual
MR. BERNARD VAUGHAN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO-LICENSED DISPENS
Contact information
Practice address
801 BROADWAY, SEATTLE, WA 98122
(360) 668-5228
(360) 668-4120
Mailing address
801 BROADWAY - FIRST FLOOR, STEWART OPTICAL SERVICES, SEATTLE, WA 98122
(360) 668-5228
(360) 668-4120
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO00000558
WA
Other
Enumeration date
12/20/2011
Last updated
01/04/2012
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