Organization
MODERN OPTOMETRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOIS FILIPELLI OD (OWNER)
(503) 702-4915
Entity
Organization
Contact information
Practice address
8932 W MARSHALL AVE, GLENDALE, AZ 85305-2259
(503) 702-4915
Mailing address
3616 R ST, VANCOUVER, WA 98663-2542
(503) 702-4915
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G8980757
—
WA
Enumeration date
05/01/2019
Last updated
08/05/2025
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