CENTRAL WASHINGTON OPTICAL LLC NPI 1043321508

NPI Information

NPI: 1043321508
Provider Name: CENTRAL WASHINGTON OPTICAL, LLC
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
3902 CREEKSIDE LOOP
SUITE 110
YAKIMA, WA
ZIP 98902
Phone: (509) 248-5176
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CENTRAL WASHINGTON OPTICAL, LLC is an optician technician technologist in Yakima, WA. CENTRAL WASHINGTON OPTICAL, LLC NPI is 1043321508. The provider is registered as an organization entity type.

The provider's business location address is:

3902 CREEKSIDE LOOP
SUITE 110
YAKIMA, WA
ZIP 98902-876
Phone: (509) 248-5176
Fax: (509) 248-0621

The provider's authorized official is Donna Hatch .
The authorized official title is Manager and has the following contact phone number (509) 248-5176.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 1/3/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier		602255023	WASHINGTON	No
2	156FX1800X	Technician/Technologist	Optician	DO00001728	WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4722800001	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
2	2026730	MEDICAID	WASHINGTON

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

NPI Synchronization or Removal

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