NPI 1225971807

Rosa Yanely Bustamante Reyes, OPTIDO

Practitioner Optician Vancouver, WA

Practice location

Address: 7017 NE Highway 99 STE 202, Vancouver, WA 98665-0553
Phone: (360) 694-0760
Fax: (360) 694-1091
Mailing address: 807 NE 163rd Ave APT B, Vancouver, WA 98684-9669

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence OPTI.DO.70120069 (WA)

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Registry record

NPI: 1225971807
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Apr 2026
Record last updated: 10 Apr 2026

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.