WOODLAWN OPTICAL OF BOTHELLINC NPI 1609062298

NPI Information

NPI: 1609062298
Provider Name: WOODLAWN OPTICAL OF BOTHELL,INC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
10116 MAIN ST
SUITE 102
BOTHELL, WA
ZIP 98011
Phone: (425) 486-7270
Get Directions

WOODLAWN OPTICAL OF BOTHELL,INC is an eyewear supplier in Bothell, WA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. WOODLAWN OPTICAL OF BOTHELL,INC NPI is 1609062298. The provider is registered as an organization entity type.

The provider's business location address is:

10116 MAIN ST
SUITE 102
BOTHELL, WA
ZIP 98011-444
Phone: (425) 486-7270
Fax: (425) 481-7291

The provider's authorized official is Paul Joseph Kavanagh .
The authorized official title is President and has the following contact phone number (425) 486-7270.

The enumeration date for this NPI number is 9/18/2007 and was last updated on 11/23/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier		DO 00001478	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5181070001	MEDICARE NSC	WASHINGTON
2	2081206	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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