Healthcare Provider Details

I. General information

NPI: 1861166035
Provider Name (Legal Business Name): PAIGE MARIE-ANGELA THOMAS OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2021
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3802 COLBY AVE
EVERETT WA
98201-4940
US

IV. Provider business mailing address

PO BOX 5127
EVERETT WA
98206-5127
US

V. Phone/Fax

Practice location:
  • Phone: 425-339-5436
  • Fax: 425-339-5402
Mailing address:
  • Phone: 206-860-5414
  • Fax: 206-720-8462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOD61182654
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: