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Contact Information

CREVISTON AND PEDERSEN LLC
224 VALLEY RD N
MOSES LAKE, WA98837-1582
 Phone: 509-766-1880
 Fax: 509-766-1577
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CREVISTON AND PEDERSEN LLC · (Female)

NPI Number 1386762417
Status Active
Credentials
Entity Individual
Enumeration date 03/27/2007
Last updated 11/11/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA Medicaid 2012722
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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