Provider Demographics
NPI:1699414102
Name:BAYVIEW VISION CLINIC
Entity Type:Organization
Organization Name:BAYVIEW VISION CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FLYNT
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:360-321-4779
Mailing Address - Street 1:15821 SR 525
Mailing Address - Street 2:
Mailing Address - City:LANGLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98260-9780
Mailing Address - Country:US
Mailing Address - Phone:360-321-4779
Mailing Address - Fax:360-321-4782
Practice Address - Street 1:15821 SR 525
Practice Address - Street 2:
Practice Address - City:LANGLEY
Practice Address - State:WA
Practice Address - Zip Code:98260-9780
Practice Address - Country:US
Practice Address - Phone:360-321-4779
Practice Address - Fax:360-321-4782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2023-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty