SPOKANE OPTICAL COMPANY LLC NPI 1972851020

NPI Information

SPOKANE OPTICAL COMPANY LLC is an eyewear supplier in Spokane Valley, 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 1972851020. The provider is registered as an organization entity type.
The provider Is Doing Business As Spokane Optical Company.

The provider's business location address is:

16201 E INDIANA AVE
5000
SPOKANE VALLEY, WA
ZIP 99216-830
Phone: (509) 924-7271
Fax: (509) 928-7802

The provider's authorized official is Randall K Jacobson .
The authorized official title is Physician and has the following contact phone number (509) 456-0107.

The enumeration date for this NPI number is 8/21/2012 and was last updated on 1/20/2015.

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:

Other Identifiers

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