Woodlawn Optical Of Bothell,Inc

LBN: Woodlawn Optical Of Bothell,Inc
Woodlawn Optical Of Bothell,Inc is an health care organization with primary practice located at 10116 Main St Suite 102, Bothell WA 98011-3444. 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. Woodlawn Optical Of Bothell,Inc can be contacted via phone (425) 486-7270, or through Kavanagh, Paul Joseph via phone (425) 486-7270.

Contact Information

Primary practice address
10116 Main St Suite 102 Bothell WA 98011-3444
Phone: (425) 486-7270
Fax: (425) 481-7291
Website:
Map and Directions
Authorized official contact:
Name: Kavanagh, Paul Joseph LDO
Phone: (425) 486-7270

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X DO 00001478 Washington

Profile Details

NPI number 1609062298
LBN Legal business name Woodlawn Optical Of Bothell,Inc
DBA Doing business as
Authorized official Kavanagh, Paul Joseph LDO
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2007
Last updated Nov 23rd, 2007 - 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 1609062298 NPPES
Washington MEDICAID 2081206

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