| Organization Name: | EYE PHYSICIANS OF OLYMPIA INC PS |
| NPI Number: | 1033427026 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA JOYCE BALDWIN (PRACTICE ADMINISTRATOR) |
| Mailing Address: | 1200 Station Dr Suite 150 Dupont |
| State: | WA US |
| Postal Code: | 983279804 |
| Phone Number: | 2539122020 |
| Fax Number: | 2535791153 |
| NPI Enumeration Date: | 09/23/2010 |
| NPI Last Update Date: | 09/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | 00004005 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |