Valley Vision Source PS

Optometrist · Renton, WA

Organization Active NPI

NPI number 1710719034

Practice location

17800 Talbot Rd S Ste 200
Renton, WA 98055-5740
Phone
(425) 545-1010

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NPI record

NPI
1710719034
Entity type
Organization (Type 2)
Enumeration date
August 15, 2024
Last updated
September 10, 2024
Certified
September 10, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X — —

Mailing address

22410 SE 282ND Ct
Maple Valley, WA 98038-5171
Phone
(425) 891-9875

Authorized official

Name
Dr. Tiffany Hollenbeck, OD
Title
Chief Executive Officer
Phone
(425) 545-1010

About Valley Vision Source PS

Valley Vision Source PS is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 17800 Talbot Rd S Ste 200, Renton, WA 98055-5740. The NPI number 1710719034 was assigned on August 15, 2024 and the record was last updated on September 10, 2024.

The authorized official for this organization is Dr. Tiffany Hollenbeck, OD, Chief Executive Officer.

Frequently asked questions

What is the NPI number of Valley Vision Source PS?

The NPI number is 1710719034.

What is the phone number of Valley Vision Source PS?

The phone number listed for the practice location is (425) 545-1010.

Where is Valley Vision Source PS located?

17800 Talbot Rd S Ste 200, Renton, WA 98055-5740.

What is the taxonomy code for Valley Vision Source PS?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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