# COZZA OPTICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881785467
- **Authorized official:** BARBARA I COZZA LDO (VP/CO-OWNER)
- **Authorized official phone:** (509) 489-2020

## Contact information

- **Practice address:** 5503 N WALL ST, SUITE 1, SPOKANE, WA 99205-6402
- **Practice address phone:** (509) 489-2020
- **Practice address fax:** (509) 489-3387
- **Mailing address:** 5503 N WALL ST, SUITE 1, SPOKANE, WA 99205-6402
- **Mailing address phone:** (509) 489-2020
- **Mailing address fax:** (509) 489-3387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | 1954 | WA | Yes |
| 156FX1800X | Optician | 548 | WA | — |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 06/17/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2022986 | — | WA |