Organization
OLYMPIC PEAKS OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE NORMAN HOLDREN MD (OWNER)
(360) 377-3703
Entity
Organization
Contact information
Practice address
1740 POTTERY AVE, SUITE 100, PORT ORCHARD, WA 98366
(360) 895-0847
(360) 876-5771
Mailing address
2655 WHEATON WAY, BREMERTON, WA 98310
(360) 377-3703
(360) 377-9469
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
0025209MD0003187
WA
Other
Enumeration date
06/06/2007
Last updated
01/03/2012
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