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Contact Information

COLUMBIA CREST EYE CARE INC PS
7301 W DESCHUTES AVE STE B
KENNEWICK, WA99336-7799
 Phone: 509-735-2020
 Fax: 509-783-2135
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for COLUMBIA CREST EYE CARE INC PS · (Female)

NPI # 1932308012
Status Active
Credentials
Entity Individual
Enumeration date 07/17/2007
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA Medicaid 2029155
  • WA Medicaid 2074706
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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