Organization
KENNEWICK VISION CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN B AYERS O.D. (PRESIDENT)
(509) 735-1312
Entity
Organization
Contact information
Practice address
3700 W CLEARWATER AVE, KENNEWICK, WA 99336
(509) 735-1312
(509) 736-6403
Mailing address
3700 W CLEARWATER AVE, KENNEWICK, WA 99336-2636
(509) 735-1312
(509) 736-6403
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001690
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146425100000
PREMERA
WA
05
—
2004356
—
WA
01
—
410049433
RAILROAD MEDICARE
WA
Enumeration date
08/28/2007
Last updated
06/28/2018
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