Organization
LYNDEN VISION CLINIC, PS
Active
Parent organization
LYNDEN VISION CLINIC, PS
Other names
Spyglass Optik
Organization subpart
Yes
Provider details
NPI number
Legal business name
LYNDEN VISION CLINIC, PS
Authorized official
MIRA SWIECICKI OD (OWNER)
(360) 354-2222
Entity
Organization
Contact information
Practice address
11 BELLWETHER WAY, SUITE 104, BELLINGHAM, WA 98225-2957
(360) 671-7107
(360) 354-0737
Mailing address
201 S 19TH ST, LYNDEN, WA 98264-1725
(360) 354-2222
(360) 354-0737
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3271
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108450
LABOR AND INDUSTRIES
WA
05
—
2019891
—
WA
01
—
P00190648
RAILROAD MEDICARE-PALMETTO
WA
Enumeration date
01/16/2013
Last updated
01/16/2013
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