Individual
DR. STEPHAN L CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
450 NW GILMAN BLVD, STE 104, ISSAQUAH, WA 98027-2483
(425) 392-8756
(425) 391-8631
Mailing address
450 NW GILMAN BLVD, STE 104, ISSAQUAH, WA 98027-2483
(425) 392-8756
(425) 391-8631
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3190
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2028686
—
WA
Enumeration date
01/03/2007
Last updated
12/19/2007
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