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Organization

THE CONTACT LENS AND EYECARE CLINIC, INC.

Active
Other names
Lawrence W. Nivala, OD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAWRENCE WILLIAM NIVALA OD (OWNER)
(360) 452-2361
Entity
Organization

Contact information

Practice address
114 E 1ST ST, PORT ANGELES, WA 98362-2903
(360) 452-2361
(360) 452-2362
Mailing address
114 E 1ST ST, PORT ANGELES, WA 98362-2903
(360) 452-2361
(360) 452-2362

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD2046
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2025120
WA
Enumeration date
11/29/2006
Last updated
02/12/2008
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