Optic Gallery

LBN: Northwest Eyecare Network
Optic Gallery is an health care organization with primary practice located at 420 W Smith St Suite 105, Kent WA 98032-4423. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Northwest Eyecare Network can be contacted via phone (253) 867-1616, or through Mazzulla, Shauna via phone (253) 867-1616.

Contact Information

Primary practice address
420 W Smith St Suite 105 Kent WA 98032-4423
Phone: (253) 867-1616
Fax: (253) 867-1618
Website:
Map and Directions
Authorized official contact:
Name: Mazzulla, Shauna Doctor of Optometry (OD)
Phone: (253) 867-1616

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3661TX Washington
Eye and Vision Services Providers / Optometrist 152W00000X Washington

Profile Details

NPI number 1316178080
LBN Legal business name Northwest Eyecare Network
DBA Doing business as Optic Gallery
Authorized official Mazzulla, Shauna Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2009
Last updated Mar 6th, 2017 - about 9 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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