Organization
ISSAQUAH EYEWORKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE JAMES LUNG O.D. (MEMBER)
(425) 391-9331
Entity
Organization
Contact information
Practice address
1145 NW GILMAN BLVD # G-12, ISSAQUAH, WA 98027-8974
(425) 391-9331
(425) 391-9331
Mailing address
1145 NW GILMAN BLVD # G-12, ISSAQUAH, WA 98027-8974
(425) 391-9331
(425) 391-9331
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001730TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2033942
—
WA
Enumeration date
05/21/2007
Last updated
03/18/2008
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