Organization
PACIFIC EYE CARE OF POULSBO PS
Active
Other names
Pacific Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JC OMORCHOE (MD/OWNER)
(360) 779-2020
Entity
Organization
Contact information
Practice address
1135 BETHEL AVE, PT ORCHARD, WA 98366-3125
(360) 895-2020
(360) 874-0048
Mailing address
20669 BOND RD NE, STE 100, POULSBO, WA 98370-6525
(360) 779-3093
(360) 779-2020
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
MD00029555
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2025633
—
WA
Enumeration date
10/20/2005
Last updated
08/22/2020
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