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Mr. Tae H Bae, DO
Optician in Lakewood, Washington
NPI 1508231044

Tae H Bae is a Optician based in Lakewood, WA and is specialized in Optician. Tae H Bae practices in Lakewood, WA and has the professional credentials of DO. The NPI Number for Tae H Bae is 1508231044 and holds a License No. DO 00002034 (Washington).

The current practice location address for Tae H Bae is 8718 S Tacoma Way Ste C, Lakewood, WA and can be reached out via phone at 253-301-2358.

Location: 8718 S Tacoma Way Ste C, Lakewood, WA, 98499-4597
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508231044
Provider Name
Tae H Bae
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
8718 S Tacoma Way Ste C, Lakewood, WA, 98499-4597
Phone Number
253-301-2358
Fax Number
Provider Enumeration Date
12/09/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DO 00002034 01 WA OPTICIAN DISPENSING LICENSE
institution
Provider Business Practice Location Address Details
Address
8718 S Tacoma Way Ste C
City
Lakewood
State
Washington
Zip
98499-4597
Phone Number
253-301-2358
Fax Number
person
Provider Business Mailing Address Details
Address
8718 S Tacoma Way Ste C
City
Lakewood
State
Washington
Zip
98499-4597
Phone Number
253-301-2358
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
DO 00002034 (Washington)
Definition
Definition to come...
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