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

Waterbury Vision Clinic LLC

Organization Optometrist · NPI 1720478514

Waterbury Vision Clinic LLC is an Optometrist in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2015.

Licensed in
WA
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4505 S 19th St
Tacoma, WA 98405-1183
Phone: (253) 752-3961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4020 (WA)

Record details

NPI number1720478514
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Waterbury — Member · (253) 617-8514
NPI enumeratedJanuary 31, 2015
Last updated in NPPESJanuary 31, 2015
Mailing address4505 S 19th St, Tacoma, WA 98405-1183

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