Organization
EDMONDS EYECARE ASSOCIATES INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN R OWEN O.D. (OWNER)
(425) 774-2020
Entity
Organization
Contact information
Practice address
7315 212TH ST SW, SUITE 200, EDMONDS, WA 98026-7610
(425) 774-2020
(425) 670-8932
Mailing address
7315 212TH ST SW, SUITE 200, EDMONDS, WA 98026-7610
(425) 774-2020
(425) 670-8932
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1736TX
WA
Other
Enumeration date
10/13/2006
Last updated
06/10/2014
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