Healthcare Provider Details

I. General information

NPI: 1225251465
Provider Name (Legal Business Name): EYECARE PARTNERS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 03/03/2023
Certification Date: 03/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7726 CENTER BLVD SE SUITE 100
SNOQUALMIE WA
98065-8748
US

IV. Provider business mailing address

7726 CENTER BLVD SE SUITE 100
SNOQUALMIE WA
98065-8748
US

V. Phone/Fax

Practice location:
  • Phone: 425-831-2060
  • Fax: 425-831-0028
Mailing address:
  • Phone: 425-831-2060
  • Fax: 425-831-0028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number3256
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. REBECCA DALE
Title or Position: OWNER/DOCTOR
Credential: MD
Phone: 425-831-2020