Organization
BURIEN EYECARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JATINDER BANSAL OD (DOCTOR OF OPTOMETRY)
(425) 749-6766
Entity
Organization
Contact information
Practice address
625 SW 153RD ST, BURIEN, WA 98166-2216
(206) 242-8545
(206) 244-2020
Mailing address
625 SW 153RD ST, BURIEN, WA 98166-2216
(206) 242-8545
(206) 244-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00004053
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2012279
—
WA
Enumeration date
03/06/2013
Last updated
03/06/2013
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