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Organization
FULL SPECTRUM EYE CARE, P.S.
Active
Organization
FULL SPECTRUM EYE CARE, P.S.
Active
Other names
The Columbia River Eye Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVIN HARRISON MD (OWNER)
(509) 943-2240
Entity
Organization
Contact information
Practice address
475 BRADLEY BLVD, RICHLAND, WA 99352-4419
(509) 943-2240
(509) 943-1575
Mailing address
475 BRADLEY BLVD, RICHLAND, WA 99352-4419
(509) 943-2240
(509) 943-1575
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
600570062
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0166993
LABOR AND INDUSTRIES
WA
01
—
1518940
COMMUNITY HEALTH PLAN
—
01
—
26278
GROUP HEALTH
—
05
—
7115223
—
WA
Enumeration date
11/02/2006
Last updated
06/01/2009
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