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

Lacey Boggan

Individual provider Eyewear Supplier · NPI 1053709865

Lacey Boggan is an Eyewear Supplier in Deer Park, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2014

Practice location Address checks out

14 N Vernon Ave
Deer Park, WA 99006
Phone: (509) 276-0026
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X (WA)

Record details

NPI number1053709865
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 31, 2014
Last updated in NPPESJuly 3, 2025
Certification dateJune 19, 2025
Mailing address41007 N Running Deer Ln, Deer Park, WA 99006-5128