Organization
DAVID B SOUZA
Active
Other names
Twin Lakes Vision
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE MARGARET MAIO (OFFICE MANAGER)
(253) 839-3622
Entity
Organization
Contact information
Practice address
2317 SW 320TH ST, FEDERAL WAY, WA 98023-2567
(253) 839-3622
(253) 952-3596
Mailing address
2317 SW 320TH ST, FEDERAL WAY, WA 98023-2567
(253) 839-3622
(253) 952-3596
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2870806
—
WA
Enumeration date
01/22/2007
Last updated
08/22/2020
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