NPI 1174613715

Glen R Owen, OD

Practitioner Optometrist Edmonds, WA

Practice location

Address: 7315 212th St SW STE 200, Edmonds, WA 98026-7610
Phone: (425) 774-2020
Fax: (425) 670-8932

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1736TX (WA)

Other Optometrist providers in Washington →

Registry record

NPI: 1174613715
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Oct 2006
Record last updated: 28 Feb 2012

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.