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Contact Information

MEDICAL VISION CENTER, LTD
240 W. MAIN ST.
MORTON, WA98356
 Phone: 360-496-5140
 Fax: 360-496-6039
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MEDICAL VISION CENTER, LTD

NPI Number 1861697070
LBN Legal business name MEDICAL VISION CENTER, LTD
Authorized official DONALD CARROLL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/18/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
WA License # OD00000957
WA Medicaid 2018240
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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