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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MICHELLE RENEE DURHAM, O.D.

Active Sole Proprietor

MRS. MICHELLE RENEE DURHAM, O.D. is a Optometrist healthcare provider located in LACEY, Washington. NPI 1023287067 is currently active in the NPPES registry. Verify at CMS.

Optometrist · LACEY, WA

Registration Details

NPI Number
1023287067
Provider Type
Individual
Gender
Female
NPI Issued
Feb 25, 2008 (18.321157439929 yrs)
Last Updated
Nov 13, 2020
Licenses
2639 (AR)
764 (HI)
2005035713 (MO)
OD60798589 (WA)
Sole Proprietor
Yes

Practice Information

Address
2539 MARVIN RD NE
SUITE B
LACEY, WA, 98516
Browse WA providers · Browse ZIP 98516
Phone
3604593335
Fax
3604592724
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist
Additional Specialty
Optometrist
Additional Specialty
Optometrist

Other Optometrist Providers in LACEY, WA

Name Credential NPI
DR. CARRIE LEANN WATTERS OD 1215924923
MRS. CONSTANCE HOWE OD 1437113230
JOANNA HAWS O.D. 1043252323
CRAIG ROUSE 1720021330
DR. JOSEPH W GLANDON O.D. 1356457436
DR. DAWN M. LEE O.D. 1225199565
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.