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General NPI Number Information
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NPI Number | 1013110196
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Entity Type | Organization
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Legal Business Name | CRAIN EYE CLINIC
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 470 SPRING STREET STE 200
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City | FRIDAY HARBOR
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State | WA
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Zip | 98250
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Country | US
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Telephone | 360-378-2637
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Fax | 360-378-8947
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Provider Business Mailing Address
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Address Line | 921 HARVEY RD STE A
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City | AUBURN
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State | WA
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Zip | 98002-4294
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Country | US
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Telephone | 253-833-2767
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Fax | 253-939-2781
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Authorized Official
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Title or Position | OWNER
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Name | DR. AARON CRAIN
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Credential |
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Telephone | 253-833-2767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD00001213
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License Number State | WA
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