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NPI Code Detail

MEDICARE: MAJOR I CARE L.L.C., D.B.A. 20-20 OPTICAL

MEDICARE: MAJOR I CARE L.L.C., D.B.A. 20-20 OPTICAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician1899WA

General Provider Information

NPI Number : 1811069057
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAJOR I CARE L.L.C., D.B.A. 20-20 OPTICAL
Provider Business Mailing Address
First Line : 45 FRONT ST N
Second Line :
City : ISSAQUAH
State : WA
Zip : 98027-3237
Country : US
Telephone Number : 425-392-0202
Fax Number : 425-392-6154
Provider Business Practice Location Address
First Line : 45 FRONT ST N
Second Line :
City : ISSAQUAH
State : WA
Zip : 98027-3237
Country : US
Telephone Number : 425-392-0202
Fax Number : 425-392-6154
Authorized Official
Title or Position : OWNER
Name : MR. JAMES R MAJOR
Credential : L.D.O.
Telephone Number : 425-392-0202
Provider Enumeration Date : 11/14/2006
Last Update Date : 08/22/2020

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