Organization
OLYMPIA VISION CLINIC AND CONTACT LENS CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE LEROY TOSLAND O.D. (OWNER)
(360) 357-6683
Entity
Organization
Contact information
Practice address
1625 COOPER POINT RD SW, OLYMPIA, WA 98502-5735
(360) 357-6683
(360) 754-0482
Mailing address
1625 COOPER POINT RD SW, OLYMPIA, WA 98502-5735
(360) 357-6683
(360) 754-0482
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201448
—
WA
05
—
2031011
—
WA
01
—
4576KO
REGENCE RIDER NUMBER
WA
01
—
TO5614
REGENCE RIDER NUMBER
WA
Enumeration date
02/12/2007
Last updated
06/22/2023
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