Vision Source Walla Walla

NPI 1851537021 - Optometrist - 152W00000X

NPI Details
NPI 1851537021
Enumeration Date 12/18/2008
Last Updated 12/18/2008
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name STEVEN J STEVEN
Position OWNER
Phone (509) 529-9660
Fax (509) 529-4750
Practice Location
614 EAST ALDER ST
WALLA WALLA WA, 99362-2073, US
Phone (509) 529-9660
Fax (509) 529-4750
Business Location
614 EAST ALDER ST
WALLA WALLA WA, 99362-2073, US
Phone (509) 529-9660
Fax (509) 529-4750
Toxanomy
Taxonomy Code 152W00000X
License State Washington
License Number 00001578
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According to our database, Vision Source Walla Walla NPI is 1851537021, taxonomy code is 152W00000X and license number is 00001578, license state is located at Washington. Vision Source Walla Walla physically located at 614 East Alder St, Walla Walla WA, 99362-2073. NPI Number 1033115704 has the healthcare provider type.

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1851537021 NPI number is provided on an as is basis without warranty of any kind. 1851537021 is maintained by the National Plan & Provider Enumeration System. The contents of Vision Source Walla Walla are for informational purposes only.