Organization
EDITH BISHEL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY JOSEPH WEISS (CLINICAL ADMINISTRATOR)
(509) 735-0699
Entity
Organization
Contact information
Practice address
628 N ARTHUR ST, KENNEWICK, WA 99336-2128
(509) 735-0699
Mailing address
628 N ARTHUR ST, KENNEWICK, WA 99336-2128
(509) 735-0699
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2033355
—
WA
Enumeration date
09/22/2007
Last updated
01/08/2008
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