Organization
BLUE WAVE EYE DOCTORS PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Other names
Visionworks Doctors of Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DOLSIE MCDONALD (CREDENTIALING MANAGER)
(726) 444-4078
Entity
Organization
Contact information
Practice address
3101 184TH ST SW STE 109&110, LYNNWOOD, WA 98037-4846
(726) 444-4122
Mailing address
175 E HOUSTON ST, SAN ANTONIO, TX 78205-2299
(726) 444-4122
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
02/27/2023
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