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NPI Code Detail

MEDICARE: ARVUE EYE CARE CORP

MEDICARE: ARVUE EYE CARE CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOD.OD.60573156WA

General Provider Information

NPI Number : 1194107300
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARVUE EYE CARE CORP
Provider Business Mailing Address
First Line : 4626 MARTIN LUTHER KING JR WAY S
Second Line :
City : SEATTLE
State : WA
Zip : 98108-2135
Country : US
Telephone Number : 206-721-8000
Fax Number :
Provider Business Practice Location Address
First Line : 4626 MARTIN LUTHER KING JR WAY S
Second Line :
City : SEATTLE
State : WA
Zip : 98108-2135
Country : US
Telephone Number : 206-721-8000
Fax Number :
Authorized Official
Title or Position : OFFICER
Name : MRS. NGOC DUNG TRAN DINH
Credential : O.D.
Telephone Number : 310-634-7648
Provider Enumeration Date : 06/24/2015
Last Update Date : 06/24/2015

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Directions to “ARVUE EYE CARE CORP ” Practice Location

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