Organization
MY LITTLE EYE SHOP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE LAM (PRESIDENT)
(253) 796-1015
Entity
Organization
Contact information
Practice address
27520 COVINGTON WAY SE, COVINGTON, WA 98042-9100
(253) 796-1015
Mailing address
11314 NE 124TH ST, KIRKLAND, WA 98034-4303
(425) 821-5050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60017736
WA
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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