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Contact Information

DAVENPORT VISION CLINIC, INC.
506 8TH ST
DAVENPORT, WA99122
 Phone: 509-725-2000
 Fax: 509-725-4231
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DAVENPORT VISION CLINIC, INC.

NPI # 1447323811
LBN Legal business name DAVENPORT VISION CLINIC, INC.
Authorized official STACIE NICHOLS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2006
Last updated 10/15/2009 - About 17 years ago
Identifiers
WA License # 0D00003248
WA Medicaid 2025815
WA Other 410046744 RAILROAD MEDICARE
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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