Organization
SEQUIM VISION CLINIC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEE YOUNG (BILLING MANAGER)
(360) 683-3389
Entity
Organization
Contact information
Practice address
541 NORTH 5TH AVENUE, SEQUIM, WA 98382
(360) 683-3389
(360) 683-7069
Mailing address
PO BOX 549, SEQUIM, WA 98382-0549
(360) 683-3389
(360) 683-7069
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
601357086
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS1723
RR MEDICARE GROUP ID#
WA
Enumeration date
08/29/2007
Last updated
08/28/2023
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