Organization
TWIN RIVER VISION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D PYLE O.D. (PRESIDENT/OPTOMETRIST)
(509) 758-9470
Entity
Organization
Contact information
Practice address
306 5TH STREET, CLARKSTON, WA 99403
(509) 758-9470
(509) 758-9478
Mailing address
PO BOX 375, 306 5TH STREET, CLARKSTON, WA 99403-0375
(509) 758-9470
(509) 758-9478
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60110615
WA
Other
Enumeration date
10/29/2009
Last updated
10/30/2010
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