Organization
DARREN L THORSEN, OD
Active
Other names
Coastal Eye Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN L THORSEN O.D. (OPTOMETRIST)
(360) 642-3214
Entity
Organization
Contact information
Practice address
1703 SOUTH PACIFIC AVE, LONG BEACH, WA 98631
(360) 642-3214
(360) 642-5333
Mailing address
1703 PACIFIC AVE S, LONG BEACH, WA 98631-3400
(360) 642-3214
(360) 642-5333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3069
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022549
—
WA
01
—
DD2653
RAILROAD MEDICARE
WA
Enumeration date
04/18/2007
Last updated
10/14/2011
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