Organization Name: | GARY MASTERS DBA GREENWOOD OPTICAL |
NPI Number: | 1487792610 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARY STEVEN MASTERS (OWNER AND OPTICIAN) |
Mailing Address: | 133 N 85th St Seattle |
State: | WA US |
Postal Code: | 981033601 |
Phone Number: | 2067832050 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | WA0535 |
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. |