Organization
VIVID EYECARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN WENDELL GORHAM OD (OWNER)
(253) 686-2770
Entity
Organization
Contact information
Practice address
16502 MERIDIAN E, PUYALLUP, WA 98375-2515
(253) 686-2770
(253) 446-1762
Mailing address
6411 87TH ST E, PUYALLUP, WA 98371-6214
(253) 686-2770
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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