NPI 1023743283

Blue Wave Eye Doctors Professional Limited Liability Company

Organisation Eyewear Supplier Tacoma, WA

Practice location

Address: 3801 S Steele St Unit a, Tacoma, WA 98409-7317
Phone: (253) 317-2704
Mailing address: 175 E Houston St, San Antonio, TX 78205-2299

Authorised official

Name: Dolsie McDonald
Title: Credentialing Manager
Phone: (726) 444-4078

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Washington →

Registry record

NPI: 1023743283
Entity type: Organization
NPI issued: 21 Jul 2022
Record last updated: 24 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.