Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Stevens Vision Clinic, Inc

Organization Optometrist · NPI 1275666042

Lake Stevens Vision Clinic, Inc is an Optometrist in Lake Stevens, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

515 State Route 9 NE Ste 104
Lake Stevens, WA 98258-8523
Phone: (425) 334-4016
Fax: (425) 334-4017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1315TX (WA)

Record details

NPI number1275666042
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rodney Windhorst — President · (425) 334-4016
NPI enumeratedMarch 13, 2007
Last updated in NPPESNovember 25, 2008
Mailing address515 State Route 9 Ne Ste 104, Lake Stevens, WA 98258-8523

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