Organization
PHYSICIANS OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY DAVID BALL LDO (OWNER)
(509) 248-2700
Entity
Organization
Contact information
Practice address
1109 W SPRUCE ST, YAKIMA, WA 98902-3209
(509) 248-2700
(509) 248-2702
Mailing address
1109 W SPRUCE ST, YAKIMA, WA 98902-3209
(509) 248-2700
(509) 248-2702
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2704906
DSHS
WA
Enumeration date
05/01/2007
Last updated
08/22/2020
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