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Contact Information

VALLEY VISION CLINIC PS
22 W MAIN ST
WALLA WALLA, WA99362
 Phone: 509-529-2020
 Fax: 509-529-2115
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for VALLEY VISION CLINIC PS

NPI Number 1558320838
LBN Legal business name VALLEY VISION CLINIC PS
Authorized official BRENT DUNN - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/23/2006
Last updated 10/08/2020 - About 6 years ago
Identifiers
WA Medicaid 2911402
Other 5870377 AETNA
Other 01300045 CIGNA
Other 8886644808 COMM HEALTH PLAN OF WASH
Other 0067000 DEPT OF LABOR AND INDUSTR
Other 610605300 DEPT OF LABOR SEATTLE DFE
Other 2576 GROUP HEALTH
Other 001300045 MC SUPPLY CIGNA DMERC REG
Other CO3376 TRAVELERS MEDICARE RETIRE
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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