Organization
PATRICK SQUIRES OD AND ASSOCIATES, INC.
Active
Other names
Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK SQUIRES O.D. (PRESIDENT)
(360) 734-6464
Entity
Organization
Contact information
Practice address
1303 CORNWALL AVE, BELLINGHAM, WA 98225-4716
(360) 647-0421
(360) 733-5585
Mailing address
PO BOX 29317, BELLINGHAM, WA 98228-1317
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015972
—
WA
01
—
GAB16225
MEDICARE GROUP #
WA
Enumeration date
04/13/2007
Last updated
04/12/2011
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