NPI 1134284151

Grady G Hollenbeck, OD

Practitioner Optometrist Covington, WA

Practice location

Address: 17224 SE 272nd St STE B, Covington, WA 98042-4953
Phone: (425) 260-6428

Registered specialties (3)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3816 (WA)

Other Optometrist providers in Washington →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 710 (HI)

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3223 (MN)

Registry record

NPI: 1134284151
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Dec 2006
Record last updated: 18 Sep 2014

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.