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Contact Information

COLUMBIA CREST EYE CARE INC PS
7301 W DESCHUTES AVE STE B
KENNEWICK, WA99336-7799
 Phone: 509-735-2020
 Fax: 509-783-2135
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for COLUMBIA CREST EYE CARE INC PS

NPI Number 1932308012
LBN Legal business name COLUMBIA CREST EYE CARE INC PS
Authorized official KENNETH DEPEW - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/17/2007
Last updated 07/21/2022 - About 4 years ago
Identifiers
WA Medicaid 2029155
WA Medicaid 2074706
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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