Organization
MERIDIAN OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA C YOUNG (SEC/TREAS)
(253) 631-4515
Entity
Organization
Contact information
Practice address
24020 132ND AVE SE, SUITE B, KENT, WA 98042-5108
(253) 631-4515
(253) 631-2972
Mailing address
24020 132ND AVE SE, SUITE B, KENT, WA 98042-5108
(253) 631-4515
(253) 631-2972
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2017440
—
WA
Enumeration date
08/29/2005
Last updated
08/22/2020
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