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
Update your record
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