Organization
WILLOWS OPTICAL SHOP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES JOBE L.D.O. (VICE PRESIDENT)
(253) 848-2338
Entity
Organization
Contact information
Practice address
13909 MERIDIAN E, SUITE A-4, PUYALLUP, WA 98373-9180
(253) 848-2338
(253) 840-5543
Mailing address
13909 MERIDIAN E, SUITE A-4, PUYALLUP, WA 98373-9180
(253) 848-2338
(253) 840-5543
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
WA
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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