Organization
SOUTHCENTER EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUONG VO O.D. (PRESIDENT)
(206) 243-2322
Entity
Organization
Contact information
Practice address
301 SOUTHCENTER MALL, TUKWILA, WA 98188-2810
(206) 243-2322
Mailing address
301 SOUTHCENTER MALL, TUKWILA, WA 98188-2810
(206) 243-2322
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OD60384269
WASHINGTON STATE OPTOMETRY
WA
Enumeration date
05/08/2014
Last updated
06/06/2014
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