Organization
PROVISION EYE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD LEUNG O.D. (PRESIDENT)
(312) 933-0078
Entity
Organization
Contact information
Practice address
17432 SE 270TH PL, INSIDE WALMART VISION CENTER, COVINGTON, WA 98042-4962
(253) 630-8718
(253) 630-8720
Mailing address
26229 125TH PL SE, KENT, WA 98030-7976
(312) 933-0078
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/06/2011
Last updated
10/01/2011
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