Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RODERICK BLAIR BEAZER, O.D.
Active Sole ProprietorDR. RODERICK BLAIR BEAZER, O.D. is a Optometrist healthcare provider located in LAKE STEVENS, Washington. NPI 1790040673 is currently active in the NPPES registry. Verify at CMS.
Optometrist · LAKE STEVENS, WA
Registration Details
- NPI Number
- 1790040673
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2012 (13.923977555422 yrs)
- Last Updated
- Oct 28, 2020
- License
-
OD60530417 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9623 32ND ST SE STE D121LAKE STEVENS, WA, 982585780Browse WA providers · Browse ZIP 98258
- Phone
- 4253779747
- Fax
- 4253778757
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in LAKE STEVENS, WA
| Name | Credential | NPI |
|---|---|---|
| DR. RODNEY ALAN WINDHORST | O.D. | 1962494609 |
| DR. MICHAEL J FLEMING | OD | 1679584478 |
| THU-THUY VO | O.D. | 1710274972 |
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.