| NPI | 1124289897 |
|---|---|
| Doing Business As | QUEEN ANNE EYE CLINIC |
| Doing Business As | EYE CLINICS OF SEATTLE - ROOSEVELT |
| Entity Type | Organization |
| Authorized Contact | ERIC JOHN BERGSTROM Owner 206-282-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 3645) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2023-05-08 |