Organization
EAST VANCOUVER EYE CLINIC P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ALAN COLE O.D. (OWNER)
(360) 449-3937
Entity
Organization
Contact information
Practice address
6680 NE 159TH AVE., SUITE # 102, VANCOUVER, WA 98682-8830
(360) 449-3937
(360) 449-3094
Mailing address
6680 NE 159TH AVE., SUITE # 102, VANCOUVER, WA 98682-8830
(360) 449-3937
(360) 449-3094
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003402
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010430
—
WA
05
—
2023828
—
WA
Enumeration date
05/03/2007
Last updated
06/15/2018
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