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Contact Information

COLVILLE VALLEY EYECARE, PLLC
298 S MAIN ST
SUITE 301
COLVILLE, WA99114-2447
 Phone: 509-684-2221
 Fax: 509-684-6222
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for COLVILLE VALLEY EYECARE PLLC · (Female)

NPI # 1871840835
Status Active
Credentials
Entity Individual
Enumeration date 08/09/2012
Last updated 08/09/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # 1246
  • WA License # 60083989
  • WA Medicaid 1043433
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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