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Organization

MAPLE VALLEY VISION CLINIC PLLC

Active
Other names
Maple Valley Vision Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT W. BENNION O.D. (MEMBER/MANAGER)
(425) 432-1206
Entity
Organization

Contact information

Practice address
23714 222ND PL SE STE B, MAPLE VALLEY, WA 98038
(425) 432-1206
(425) 413-4465
Mailing address
23714 222ND PL SE STE B, MAPLE VALLEY, WA 98038-5800
(425) 432-1206
(425) 413-4465

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WA1115TX
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2032050
WA
Enumeration date
08/18/2006
Last updated
07/31/2018
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