Leigh Gongaware, OD Valid NPI

Individual provider · Optometrist · Ferndale, WA

NPI

1154606200

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

OD 60481061 (WA)

Sex

Female

Sole proprietor

No

Enumerated

2011-10-19

Last updated

2017-10-06