Pacific Northwest Eye Care

LBN: Pacific Northwest Eye Care, Ps
Pacific Northwest Eye Care is an health care organization with primary practice located at 1940 Black Lake Blvd Sw , Olympia WA 98512-5651. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Pacific Northwest Eye Care, Ps can be contacted via phone (360) 570-1780, or through Wong, Ben Harold via phone (360) 570-1780.

Contact Information

Primary practice address
1940 Black Lake Blvd Sw Olympia WA 98512-5651
Phone: (360) 570-1780
Fax: (360) 570-1801
Website:
Map and Directions
Authorized official contact:
Name: Wong, Ben Harold Doctor of Optometry (OD)
Phone: (360) 570-1780

Health care specialties

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

Profile Details

NPI number 1659435709
LBN Legal business name Pacific Northwest Eye Care, Ps
DBA Doing business as Pacific Northwest Eye Care
Authorized official Wong, Ben Harold Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2006
Last updated Apr 21st, 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 1659435709 NPPES
Washington MEDICAID 2025112

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