Organization
PASCO VISION CLINIC, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C SULLIVAN O.D. (PRESIDENT)
(509) 547-8409
Entity
Organization
Contact information
Practice address
2715 W COURT ST, PASCO, WA 99301-3911
(509) 547-8409
(509) 547-3751
Mailing address
2715 W COURT ST, PASCO, WA 99301-3911
(509) 547-8409
(509) 547-7875
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
38
WA
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0056740
DEPT OF LABOR & INDUSTRY
WA
05
—
1104851690
—
WA
05
—
1265729354
—
WA
05
—
1568661924
—
WA
05
—
1992802656
—
WA
05
—
2300028
—
WA
01
—
CK6046
RAILROAD MEDICARE
WA
Enumeration date
07/12/2006
Last updated
05/13/2026
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