East Vancouver Eye Clinic P.S.

LBN: East Vancouver Eye Clinic P.S.
East Vancouver Eye Clinic P.S. is an health care organization with primary practice located at 6680 Ne 159Th Ave. Suite # 102, Vancouver WA 98682-8830. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. East Vancouver Eye Clinic P.S. can be contacted via phone (360) 449-3937, or through Cole, Gary Alan via phone (360) 449-3937.

Contact Information

Primary practice address
6680 Ne 159Th Ave. Suite # 102 Vancouver WA 98682-8830
Phone: (360) 449-3937
Fax: (360) 449-3094
Website:
Map and Directions
Authorized official contact:
Name: Cole, Gary Alan Doctor of Optometry (OD)
Phone: (360) 449-3937

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD00003402 Washington

Profile Details

NPI number 1790907491
LBN Legal business name East Vancouver Eye Clinic P.S.
DBA Doing business as
Authorized official Cole, Gary Alan Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Jun 15th, 2018 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790907491 NPPES
Washington MEDICAID 1010430
Washington MEDICAID 2023828

Popular Providers