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Contact Information

CASEY J. ANDRUS, O.D., PLLC
1203 E DIVISION ST
MOUNT VERNON, WA98274-4101
 Phone: 360-336-5734
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CASEY J. ANDRUS, O.D., PLLC

NPI # 1386974566
LBN Legal business name CASEY J. ANDRUS, O.D., PLLC
Authorized official CASEY ANDRUS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/11/2010
Last updated 01/11/2010 - About 16 years ago
Identifiers
WA License # 4046
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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