Organization
2020 EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA L LIEM OD (OPTOMETRIST)
(206) 979-3886
Entity
Organization
Contact information
Practice address
15711 AURORA AVE N, SHORELINE, WA 98133
(206) 363-2296
(206) 365-0140
Mailing address
19010 12TH PL NW, SHORELINE, WA 98177-2719
(206) 979-3886
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60118179
WA
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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