Organization
ISLAND OPTOMETRY CLINIC, INC., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN L FARNSWORTH O.D. (OWNER)
(360) 293-2127
Entity
Organization
Contact information
Practice address
1610 COMMERCIAL AVE, ANACORTES, WA 98221-2275
(360) 293-2127
(360) 293-1354
Mailing address
11307 WHISTLE LAKE RD, ANACORTES, WA 98221-4385
(360) 293-2127
(360) 293-1354
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1542
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2424109
—
WA
Enumeration date
11/29/2006
Last updated
08/22/2020
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