Organization
BLUE WAVE EYE DOCTORS PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Other names
VISIONWORKS DOCTORS OF OPTOMETRY
Organization subpart
No
Provider details
NPI number
Authorized official
DOLSIE MCDONALD (CREDENTIALING MANAGER)
(726) 444-4078
Entity
Organization
Contact information
Practice address
921 N 10TH ST STE B, RENTON, WA 98057-5591
(425) 255-1022
(425) 255-1176
Mailing address
175 E HOUSTON ST, SAN ANTONIO, TX 78205-2299
(800) 340-0129
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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