Individual
JAMES C LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
515 W COURT ST, PASCO, WA 99301-3737
(509) 547-2204
(509) 542-8836
Mailing address
PO BOX 1452, PASCO, WA 99301-1223
(509) 543-1920
(509) 542-8836
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1458
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0906520
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
09/01/2006
Last updated
02/05/2024
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