PAUL SHEPHERD

ENUMCLAW FAMILY OPTOMETRY CLINIC PS

Dr PAUL SHEPHERD is a male medical professional, specializing in Optometry. He graduated in 1984 from Southern College Of Optometry.

Contact

ENUMCLAW FAMILY OPTOMETRY CLINIC PS

2726 GRIFFIN AVE
SUITE B
ENUMCLAW
WA
980222362

Tel: 3608253000

PAUL SHEPHERD Information

Npi 1093918013
Pac Id 6305985862
Professional Enrollment Id I20091123000658
Last Name SHEPHERD
First Name PAUL
Middle Name
Suffix
Gender M
Credential
Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year 1984
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ENUMCLAW FAMILY OPTOMETRY CLINIC PS
Group Practice Pac Id 1850430315
Number Of Group Practice Members 2
Line 1 Street Address 2726 GRIFFIN AVE
Line 2 Street Address SUITE B
Marker Of Address Line 2 Suppression
City ENUMCLAW
State WA
Zip Code 980222362
Phone Number 3608253000
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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