Organization
WASHINGTON VISION THERAPY OF TRI-CITIES, PLLC
Active
Other names
Washington Vision Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA DAVID RANDALL O.D, (MANAGER)
(509) 654-9256
Entity
Organization
Contact information
Practice address
7203 W DESCHUTES AVE, STE B, KENNEWICK, WA 99336-7777
(509) 654-9256
Mailing address
7203 W DESCHUTES AVE, STE B, KENNEWICK, WA 99336-7777
(509) 654-9256
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WA 60136353
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2008580
—
WA
Enumeration date
06/24/2016
Last updated
06/24/2016
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