Evergreen Optical INC.
Technician/Technologist, Optician in Wenatchee, WA. Organization (NPI-2).
NPI number1033502000
StatusActive
Last updated in NPPESMar 13, 2015
Details
- NPI
- 1033502000
- Entity type
- Organization (NPI-2)
- Legal business name
- Evergreen Optical INC.
- Organization subpart
- No
- Enumeration date
- Mar 13, 2015
- Last updated
- Mar 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | DO 00000833 | WA | Yes |
Practice location
351 Orondo AveWenatchee, WA 98801-2826
Phone 509-662-4747 · Fax 509-663-5338
Mailing address
351 Orondo AveWenatchee, WA 98801-2826
Phone 509-662-4747 · Fax 509-663-5338
Authorized official
Jeanne Marie Miller
Office Manager
5096624747
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