CENTRAL WASHINGTON OPTICAL, LLC; NPI #1043321508

Contact Information

CENTRAL WASHINGTON OPTICAL, LLC

3902 CREEKSIDE LOOP
SUITE 110
YAKIMA, WA 98902-4876

Phone: 509-248-5176
Fax: 509-248-0621
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Optician	156FX1800X	96[5]	Optician
Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for CENTRAL WASHINGTON OPTICAL, LLC

NPI # 1043321508

LBN Legal business name CENTRAL WASHINGTON OPTICAL, LLC

Authorized official DONNA HATCH - (MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/31/2006

Last updated 01/03/2013 - About 13 years ago

Identifiers

WA	License #	602255023
WA	License #	DO00001728
WA	Medicaid	2026730

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CENTRAL WASHINGTON OPTICAL, LLC

Contact Information

Specialty

Optician

Eyewear Supplier

NPI Profile & details for CENTRAL WASHINGTON OPTICAL, LLC

Reviews for CENTRAL WASHINGTON OPTICAL, LLC