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OPTHOMASTRY, PLLC

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Company Details

Legal Name: OPTHOMASTRY, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 8th 2025
Expiration date: 30 Apr 2026
UBI Number: 605 830 374
ZIP code: 98837
City: Moses Lake
County: GRANT
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 424 W 3RD AVE, MOSES LAKE, WA, 98837-1908, UNITED STATES

Contact Details

E-Mail: DRTIMTOMOD@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
TIMOTHY THOMAS Registered Agent 3824 W WATERFORD LN, MOSES LAKE, WA, 98837-5705, UNITED STATES

Key Officers & Management

Name Role Address
TIMOTHY THOMAS Executor 3824 W WATERFORD LN, MOSES LAKE, WA, 98837-5705, UNITED STATES
TIMOTHY THOMAS Governing Person -

National Provider Identifier

NPI Number:
1356130868
Certification Date:
2025-05-01

Authorized Person:

Name:
DR. TIMOTHY C THOMAS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
5097654123
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