National Provider Identifier Database

DAVENPORT VISION CLINIC INC
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

DAVENPORT VISION CLINIC, INC.
506 8TH ST
DAVENPORT, WA99122
Phone: 509-725-2000
Fax: 509-725-4231
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for DAVENPORT VISION CLINIC, INC.

NPI Number 1447323811
Legal business name
LBN
DAVENPORT VISION CLINIC, INC.
Authorized official STACIE NICHOLS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/15/2006
Last updated 10/15/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: 0D00003248
  • WA Medicaid: 2025815
  • WA Other: 410046744 RAILROAD MEDICARE

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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