Edwin Ambo

NPI 1336277102 · on the registry since 2007 · sole proprietor

Practice

Address: 1801 10th Ave Nw
Issaquah, WA 98027
Phone: (425) 369-6726
Organisation at this address: Costco Wholesale
Issaquah Family Eyecare, Pc
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: Optometrist
152W00000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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