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SHAWN M KURTZ OD PLLC NPI 1952574295


NPI Information

NPI: 1952574295
Provider Name: SHAWN M KURTZ OD PLLC

Doing Business As: RETROSPECS EYE CENTER

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
208 S 72ND AVE STE 100
YAKIMA, WA
ZIP 98908
Phone: (509) 576-4292
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SHAWN M KURTZ OD PLLC is an eyewear supplier in Yakima, WA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SHAWN M KURTZ OD PLLC NPI is 1952574295. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Retrospecs Eye Center.

The provider's business location address is:

208 S 72ND AVE STE 100
YAKIMA, WA
ZIP 98908-600
Phone: (509) 576-4292
Fax: (509) 966-3303

The provider's authorized official is Shawn M Kurtz .
The authorized official title is Managibg Memebr and has the following contact phone number (509) 576-4292.

The enumeration date for this NPI number is 4/8/2008 and was last updated on 10/24/2008.


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
1152W00000XOptometristNo
2332H00000XEyewear SupplierYes

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
1GAB38439MEDICARE PINWASHINGTON
22028132MEDICAIDWASHINGTON
34972510001MEDICARE NSCWASHINGTON

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: 4/28/2024

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