NPI 1063866424

Kim Forgione, OD

Practitioner Optometrist Vancouver, WA

Practice location

Address: 1900 NE 162nd Ave STE D103, Vancouver, WA 98684
Phone: (360) 702-8184
Mailing address: 1514 SW 6th St, Battle Ground, WA 98604-3000

Registered specialties (3)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OD60850778 (WA)

Other Optometrist providers in Washington →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 4290ATI (OR)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Washington →

Registry record

NPI: 1063866424
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Apr 2016
Record last updated: 28 Jun 2018

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.