Organization
MARYSVILLE VISION SOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM MARTIN KRON O.D. (OPTOMETRIST/OWNER)
(360) 659-6255
Entity
Organization
Contact information
Practice address
1098 ALDER AVE, MARYSVILLE, WA 98270-4318
(360) 659-6255
(360) 653-2466
Mailing address
1098 ALDER AVE, MARYSVILLE, WA 98270-4318
(360) 659-6255
(360) 653-2466
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OL1342
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2008662
—
WA
Enumeration date
08/28/2007
Last updated
08/28/2007
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