Organization
CENTRAL WASHINGTON OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA HATCH (MANAGER)
(509) 248-5176
Entity
Organization
Contact information
Practice address
3902 CREEKSIDE LOOP, SUITE 110, YAKIMA, WA 98902-4876
(509) 248-5176
(509) 248-0621
Mailing address
3902 CREEKSIDE LOOP, SUITE 110, YAKIMA, WA 98902-4876
(509) 248-5176
(509) 248-0621
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO00001728
WA
332H00000X
Eyewear Supplier
602255023
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2026730
—
WA
Enumeration date
08/31/2006
Last updated
01/03/2013
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