Organization
PACIFIC NORTHWEST EYE CARE, PS
Active
Other names
Pacific Northwest Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEN HAROLD WONG JR. O.D. (CO-OWNER)
(360) 570-1780
Entity
Organization
Contact information
Practice address
1940 BLACK LAKE BLVD SW, OLYMPIA, WA 98512-5651
(360) 570-1780
(360) 570-1801
Mailing address
1940 BLACK LAKE BLVD SW, OLYMPIA, WA 98512-5651
(360) 570-1780
(360) 570-1801
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2025112
—
WA
Enumeration date
12/21/2006
Last updated
04/21/2008
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