Provider Demographics
NPI:1215072269
Name:VANCOUVER CONTACT LENS & VISION CLINIC INC
Entity type:Organization
Organization Name:VANCOUVER CONTACT LENS & VISION CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAJIV
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:360-694-8303
Mailing Address - Street 1:314 E MCLOUGHLIN BLVD
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-3387
Mailing Address - Country:US
Mailing Address - Phone:360-694-8303
Mailing Address - Fax:360-694-9032
Practice Address - Street 1:314 E MCLOUGHLIN BLVD
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-3387
Practice Address - Country:US
Practice Address - Phone:360-694-8303
Practice Address - Fax:360-694-9032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty