# FULL SPECTRUM EYE CARE, P.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Columbia River Eye Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841378056
- **Authorized official:** DR. DEVIN HARRISON MD (OWNER)
- **Authorized official phone:** (509) 943-2240

## Contact information

- **Practice address:** 475 BRADLEY BLVD, RICHLAND, WA 99352-4419
- **Practice address phone:** (509) 943-2240
- **Practice address fax:** (509) 943-1575
- **Mailing address:** 475 BRADLEY BLVD, RICHLAND, WA 99352-4419
- **Mailing address phone:** (509) 943-2240
- **Mailing address fax:** (509) 943-1575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 600570062 | WA | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 06/01/2009

## 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 |