Organization
SHORELINE EYECARE PC
Active
Other names
Erika Tydor OD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIKA TYDOR O.D. (OPTOMETRIST)
(314) 541-6529
Entity
Organization
Contact information
Practice address
18021 15TH AVE NE, SUITE 100, SHORELINE, WA 98155-3806
(206) 367-8883
(206) 913-2915
Mailing address
2558 76TH AVE SE APT 371, MERCER ISLAND, WA 98040-3785
(314) 541-6529
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60293866
WA
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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