Organization
TWIN HARBORS EYE CENTER PS
Active
Other names
TWIN HARBORS OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN RUYLE M.D. (OWNER)
(360) 533-2020
Entity
Organization
Contact information
Practice address
207 S CHEHALIS ST, ABERDEEN, WA 98520-2945
(360) 533-2020
(360) 533-1978
Mailing address
207 S CHEHALIS ST, ABERDEEN, WA 98520-2945
(360) 533-2020
(360) 533-1978
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1246640001
PROVIDER/CLINIC#
WA
Enumeration date
11/30/2007
Last updated
06/16/2008
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