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Contact Information

DANIEL E CREVISTON, OD
601 S PIONEER WAY STE G
MOSES LAKE, WA98837-1837
 Phone: 509-766-2125
 Fax: 509-766-0147
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DANIEL E CREVISTON · (Male)

NPI # 1841630555
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/26/2013
Last updated 06/26/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • WA License # OD60394191
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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