Douglas Fairbanks, L.D.O

NPI 1316185283 · on the registry since 2009

Practice

Address: 3260 Nw Mount Vintage Way
Silverdale, WA 98383
Phone: (360) 698-1685
Fax: (360) 698-1763
Organisation at this address: Vintage Optical Llc
Eye Clinic Of Bremerton, Inc. P.S.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 156FX1800X
156FX1800X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington