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Organization

EAGLE EYE VISION CARE PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KERRI W. SCARBROUGH O.D. (PRESIDENT)
(425) 398-1862
Entity
Organization

Contact information

Practice address
17320 135TH AVE NE STE D, WOODINVILLE, WA 98072-8565
(425) 398-1862
Mailing address
17320 135TH AVE NE STE D, WOODINVILLE, WA 98072-8565
(425) 398-1862

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WA1675TX
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2023877
WA
Enumeration date
11/01/2007
Last updated
05/01/2008
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