Organization
MONTESANO VISION CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY F WILLS (MEMBER)
(360) 249-3485
Entity
Organization
Contact information
Practice address
118 S MAIN ST, MONTESANO, WA 98563-3709
(360) 249-3485
Mailing address
118 S MAIN ST, MONTESANO, WA 98563-3709
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD 3739
WA
Other
Enumeration date
06/27/2011
Last updated
08/25/2011
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