Organization
OPTICAL SHOP OF WA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOLORES MAE FRAIRE OD (OPTOMETRIST)
(360) 427-7553
Entity
Organization
Contact information
Practice address
1635 OLYMPIC HWY N, SUITE 102, SHELTON, WA 98584-3065
(360) 427-7553
(360) 426-2033
Mailing address
1635 OLYMPIC HWY N, SUITE 102, SHELTON, WA 98584-3065
(360) 427-7553
(360) 426-2033
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3108
WA
Other
Enumeration date
12/17/2007
Last updated
08/02/2016
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