Hyde, Ivan D
Hyde, Ivan D is an individual health care provider with primary practice located at 18631 Alderwood Mall Pkwy #105, Lynnwood WA 98037-8014. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hyde, Ivan D can be contacted via phone (425) 771-2662.Contact Information
Primary practice address
18631 Alderwood Mall Pkwy #105
Lynnwood WA 98037-8014
Phone: (425) 771-2662
Fax: (425) 670-2333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00001345 | Washington |
Profile Details
| NPI number | 1932297116 |
|---|---|
| LBN Legal business name | Hyde, Ivan D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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