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General NPI Number Information
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NPI Number | 1740069772
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Entity Type | Organization
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Legal Business Name | DE LA CRUZ OPTICAL LLC
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Dates
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Enumeration Date | 09/28/2023
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Last Update Date | 10/26/2025
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Provider Practice Location Address
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Address Line | 801 AUBURN WAY N STE B
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City | AUBURN
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State | WA
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Zip | 98002-4164
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Country | US
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Telephone | 360-474-4900
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Fax | 253-735-1861
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Provider Business Mailing Address
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Address Line | PO BOX 1875
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City | OCEAN SHORES
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State | WA
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Zip | 98569-1875
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Country | US
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Telephone | 253-735-4732
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Fax | 253-735-1861
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. PAUL JOSEPH OLSOVSKY
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Credential | OD
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Telephone | 360-660-5496
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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 |
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License Number State |
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