Provider Demographics
NPI:1811069057
Name:MAJOR I CARE L.L.C., D.B.A. 20-20 OPTICAL
Entity type:Organization
Organization Name:MAJOR I CARE L.L.C., D.B.A. 20-20 OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:MAJOR
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:425-392-0202
Mailing Address - Street 1:45 FRONT ST N
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-3237
Mailing Address - Country:US
Mailing Address - Phone:425-392-0202
Mailing Address - Fax:425-392-6154
Practice Address - Street 1:45 FRONT ST N
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-3237
Practice Address - Country:US
Practice Address - Phone:425-392-0202
Practice Address - Fax:425-392-6154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1899156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty