NPI 1235249053

Matthew E Suronen, LDO

Practitioner Optician Vancouver, WA

Practice location

Address: 7101 NE 137th Ave, Vancouver, WA 98682-4933
Phone: (360) 944-4931

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence DO00001992 (WA)

Other Technician/Technologist providers in Washington →

Registry record

NPI: 1235249053
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2006
Record last updated: 17 Jul 2007

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.