Lake Stevens Vision Clinic, Inc

LBN: Lake Stevens Vision Clinic, Inc
Lake Stevens Vision Clinic, Inc is an health care organization with primary practice located at 515 State Route 9 Ne Ste 104 , Lake Stevens WA 98258-8523. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Lake Stevens Vision Clinic, Inc can be contacted via phone (425) 334-4016, or through Windhorst, Rodney Alan via phone (425) 334-4016.

Contact Information

Primary practice address
515 State Route 9 Ne Ste 104 Lake Stevens WA 98258-8523
Phone: (425) 334-4016
Fax: (425) 334-4017
Website:
Map and Directions
Authorized official contact:
Name: Windhorst, Rodney Alan Doctor of Optometry (OD)
Phone: (425) 334-4016

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1315TX Washington

Profile Details

NPI number 1275666042
LBN Legal business name Lake Stevens Vision Clinic, Inc
DBA Doing business as
Authorized official Windhorst, Rodney Alan Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Nov 25th, 2008 - about 17 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 1275666042 NPPES
Washington MEDICAID 2011146

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