Alderwood Vision Clinic, Inc. P.S.

LBN: Alderwood Vision Clinic, Inc. P.S.
Alderwood Vision Clinic, Inc. P.S. is an health care organization with primary practice located at 18631 Alderwood Mall Pkwy Ste 105 , Lynnwood WA 98037-8057. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Alderwood Vision Clinic, Inc. P.S. can be contacted via phone (425) 771-2662, or through Hyde, Ivan Derek via phone (425) 771-2662.

Contact Information

Primary practice address
18631 Alderwood Mall Pkwy Ste 105 Lynnwood WA 98037-8057
Phone: (425) 771-2662
Fax: (425) 670-2333
Website:
Map and Directions
Authorized official contact:
Name: Hyde, Ivan Derek Doctor of Optometry (OD)
Phone: (425) 771-2662

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 600387275 Washington

Profile Details

NPI number 1396829123
LBN Legal business name Alderwood Vision Clinic, Inc. P.S.
DBA Doing business as
Authorized official Hyde, Ivan Derek Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Jul 2nd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396829123 NPPES
Washington MEDICAID 2001873

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