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SPOKANE OPTICAL COMPANY LLC NPI 1922006758


NPI Information

NPI: 1922006758
Provider Name: SPOKANE OPTICAL COMPANY LLC

Doing Business As: SPOKANE OPTICAL COMPANY, LLC

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
427 S BERNARD ST
SPOKANE, WA
ZIP 99204
Phone: (509) 456-0107
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SPOKANE OPTICAL COMPANY LLC is an eyewear supplier in Spokane, WA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SPOKANE OPTICAL COMPANY LLC NPI is 1922006758. The provider is registered as an organization entity type.
The provider Is Doing Business As Spokane Optical Company, Llc.

The provider's business location address is:

427 S BERNARD ST
SPOKANE, WA
ZIP 99204-509
Phone: (509) 456-0107
Fax: (509) 747-2635

The provider's authorized official is Janis Simpson .
The authorized official title is Ceo and has the following contact phone number (509) 456-0107.

The enumeration date for this NPI number is 7/14/2005 and was last updated on 1/16/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier602382529WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110803OTHERWASHINGTONLABOR AND INDUSTRIES
21922006758MEDICAIDIDAHO
31922006758MEDICAIDWASHINGTON
40292200001MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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