| Organization Name: | OLYMPIC PEAKS OPTICAL |
| NPI Number: | 1033324942 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DALE NORMAN HOLDREN (OWNER) |
| Mailing Address: | 2655 Wheaton Way Bremerton |
| State: | WA US |
| Postal Code: | 98310 |
| Phone Number: | 3603770097 |
| Fax Number: | 3603779469 |
| NPI Enumeration Date: | 05/14/2007 |
| NPI Last Update Date: | 12/13/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | 0025209MD00031837 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |