National Provider Identifier Database

CREVISTON AND PEDERSEN LLC
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

CREVISTON AND PEDERSEN LLC
224 VALLEY RD N
MOSES LAKE, WA98837-1582
Phone: 509-766-1880
Fax: 509-766-1577
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for CREVISTON AND PEDERSEN LLC

NPI Number 1386762417
Legal business name
LBN
CREVISTON AND PEDERSEN LLC
Authorized official LAURIE SHEPPARD - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 03/27/2007
Last updated 11/11/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • WA Medicaid: 2012722

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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