NPI 1043880057

Clemence Mendoza, OD

Practitioner Optometrist Issaquah, WA

Practice location

Address: 100 NE Gilman Blvd, Issaquah, WA 98027-2925
Phone: (425) 557-8000
Mailing address: PO Box 741515, Los Angeles, CA 90074-1515

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OD61181803 (WA)

Other Optometrist providers in Washington →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence ATI4567 (OR)

Registry record

NPI: 1043880057
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2021
Record last updated: 28 Jul 2023

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.