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Individual

CHRISTOPHER THOMAS WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1286 MOUNT BAKER RD, SUITE B, EASTSOUND, WA 98245-8931
(360) 376-5310
(866) 393-7127
Mailing address
PO BOX 181, EASTSOUND, WA 98245-0181
(360) 376-5310
(866) 393-7127

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001839
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2029650
WA
01
G8873411
MEMBER'S PROVIDER TRANSACTION ACESS NUMBER PTAN
WA
Enumeration date
02/14/2007
Last updated
01/12/2015
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