Organization
LAKE FOREST VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY PHILLIP ARCHER DOCTOR OF OPTOMETRY (OWNER)
(206) 363-9292
Entity
Organization
Contact information
Practice address
17171 BOTHELL WAY NE, LAKE FOREST PARK, WA 98155-5534
(206) 363-9292
(206) 362-4620
Mailing address
17171 BOTHELL WAY NE, LAKE FOREST PARK, WA 98155-5534
(206) 363-9292
(206) 362-4620
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
OD00001793
WA
Other
Enumeration date
12/29/2006
Last updated
08/22/2020
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