Organization
MERCER ISLAND EYEWORKS INC
Active
Other names
Mercer Island Eyeworks
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORRADO RAIN MASCIOCCHI O.D. (PRESIDENT)
(206) 232-3377
Entity
Organization
Contact information
Practice address
2729 78TH AVE SE, MERCER ISLAND, WA 98040-2816
(206) 232-3377
(206) 232-0567
Mailing address
2729 78TH AVE SE, MERCER ISLAND, WA 98040-2816
(206) 232-3377
(206) 232-0567
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3980
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265591051
NPI NUMBER FOR INDIVIDUAL
WA
Enumeration date
02/28/2007
Last updated
08/22/2020
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