Brockett, Mitchell D

Brockett, Mitchell D is an sole proprietor health care provider with primary practice located at 2914 Mitchell Rd Se , Port Orchard WA 98366-4428. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brockett, Mitchell D can be contacted via phone (360) 874-2020.

Contact Information

Primary practice address
2914 Mitchell Rd Se Port Orchard WA 98366-4428
Fax: (360) 874-0567
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3652 Washington

Profile Details

NPI number 1871577593
LBN Legal business name Brockett, Mitchell D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2005
Last updated Sep 20th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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