National Provider Identifier Database

COLVILLE VALLEY EYECARE PLLC
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

COLVILLE VALLEY EYECARE, PLLC
298 S MAIN ST
SUITE 301
COLVILLE, WA99114-2447
Phone: 509-684-2221
Fax: 509-684-6222
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for COLVILLE VALLEY EYECARE, PLLC

NPI Number 1871840835
Legal business name
LBN
COLVILLE VALLEY EYECARE, PLLC
Authorized official KENTON MCDOUGALL - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/09/2012
Last updated 08/09/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: 1246
  • WA License #: 60083989
  • WA Medicaid: 1043433

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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