Fraire, Dolores Mae
Fraire, Dolores Mae is an individual health care provider with primary practice located at 1635 Olympic Hwy N Ste 102, Shelton WA 98584-3065. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Fraire, Dolores Mae can be contacted via phone (360) 427-7553.Contact Information
Primary practice address
1635 Olympic Hwy N Ste 102
Shelton WA 98584-3065
Phone: (360) 427-7553
Fax: (360) 426-2033
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 3108 | Washington |
Profile Details
NPI number | 1033103221 |
---|---|
LBN Legal business name | Fraire, Dolores Mae |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 2nd, 2005 |
Last updated | Aug 2nd, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033103221 | NPPES |
Washington | MEDICAID | AB19883 |
Popular Providers
-
Tao, Tony Yu
1150 N Watters Rd Suite 107, Allen TX 75013-5508 -
Cloyd, Frances G
709 S Riverside Ave , Medford OR 97501-7837 -
Aaseby, Jenni Rubio
1701 N 13Th St , Shelton WA 98584-2077 -
Campell, Edward Sidney
94 Ridgewood Ave , Ewing NJ 08618-1611 -
Varley, Richard W
508 W Chickasha Ave , Chickasha OK 73018-2412 -
Eckard, Dax M
3353 N Gloster St , Tupelo MS 38804-9735 -
Akel, Abraham
105 Sawgrass Pt , Harrison AR 72601-3072 -
Mothershed, Fred H
3353 N Gloster St , Tupelo MS 38804-9735