Healthcare Provider Details

I. General information

NPI: 1841684677
Provider Name (Legal Business Name): EYE-Q DOCS OF EVERETT LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2015
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 MADISON ST STE A
EVERETT WA
98203-5376
US

IV. Provider business mailing address

2112 MADISON ST STE A
EVERETT WA
98203-5376
US

V. Phone/Fax

Practice location:
  • Phone: 425-252-2020
  • Fax:
Mailing address:
  • Phone: 425-252-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number60389090
License Number StateWA

VIII. Authorized Official

Name: DR. QUANG NGUYEN
Title or Position: PRESIDENT
Credential:
Phone: 503-442-5558