OrganizationActive
Blue Wave Eye Doctors Professional Limited Liability Company
NPI 1023743283 · Eyewear Supplier · Tacoma, WA
Provider details
- NPI number
- 1023743283
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Authorized official
- Dolsie Mcdonald, Credentialing Manager
Mailing address
175 E Houston St
San Antonio, TX 78205-2299
Registry dates
- Enumerated
- 2022-07-21
- Last updated
- 2022-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.