Pacific Optical

LBN: Pacific Eyecare Of Poulsbo Ps
Pacific Optical is an health care organization with primary practice located at 1100 Madison Ave N , Bainbridge Island WA 98110-1781. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Pacific Eyecare Of Poulsbo Ps can be contacted via phone (206) 842-2020, or through Omorehue, David Jc via phone (360) 779-2020.

Contact Information

Primary practice address
1100 Madison Ave N Bainbridge Island WA 98110-1781
Phone: (206) 842-2020
Fax: (206) 780-2020
Website:
Map and Directions
Authorized official contact:
Name: Omorehue, David Jc
Phone: (360) 779-2020

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X MD00029555 Washington

Profile Details

NPI number 1083604946
LBN Legal business name Pacific Eyecare Of Poulsbo Ps
DBA Doing business as Pacific Optical
Authorized official Omorehue, David Jc
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2005
Last updated Jun 19th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083604946 NPPES
Washington MEDICAID 2025633

Popular Providers