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Contact Information

VALLEY VISION CLINIC PS
22 W MAIN ST
WALLA WALLA, WA99362
 Phone: 509-529-2020
 Fax: 509-529-2115
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for VALLEY VISION CLINIC PS · (Female)

NPI Number 1558320838
Status Active
Credentials
Entity Individual
Enumeration date 03/23/2006
Last updated 10/08/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA Medicaid 2911402
  • Other 5870377 AETNA
  • Other 01300045 CIGNA
  • Other 8886644808 COMM HEALTH PLAN OF WASH
  • Other 0067000 DEPT OF LABOR AND INDUSTR
  • Other 610605300 DEPT OF LABOR SEATTLE DFE
  • Other 2576 GROUP HEALTH
  • Other 001300045 MC SUPPLY CIGNA DMERC REG
  • Other CO3376 TRAVELERS MEDICARE RETIRE
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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