Organization
OVERLAKE FAMILY VISION, PLLC
Active
Organization
OVERLAKE FAMILY VISION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY E BAKER OD (OWNER)
(425) 638-0700
Entity
Organization
Contact information
Practice address
1135 116TH AVE NE STE120, BELLEVUE, WA 98004-4626
(425) 638-0700
Mailing address
1135 116TH AVE NE STE120, BELLEVUE, WA 98004-4626
(425) 638-0700
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
1995TX
WA
Other
Enumeration date
04/07/2008
Last updated
05/15/2010
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