Medical Vision Center, Ltd
Optometrist in Morton, WA. Organization (NPI-2).
NPI number1861697070
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1861697070
- Entity type
- Organization (NPI-2)
- Legal business name
- Medical Vision Center, Ltd
- Organization subpart
- No
- Enumeration date
- Jun 18, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | od00000957 | WA | Yes |
Practice location
240 W. Main St.Morton, WA 98356
Phone 360-496-5140 · Fax 360-496-6039
Mailing address
240 W. Main St.P.O. Box Ac
Morton, WA 98356
Phone 360-496-5140 · Fax 360-496-6039
Authorized official
Donald A Carroll
Owner
3604965140
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