Organization
LOWER VALLEY EYE CARE INC.
Active
Parent organization
LOWER VALLEY EYE CARE INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOWER VALLEY EYE CARE INC.
Authorized official
MR. KENNETH C DEPEW OD (OWNER)
(509) 837-3005
Entity
Organization
Contact information
Practice address
326 S 9TH ST, SUNNYSIDE, WA 98944-1570
(509) 837-3005
(509) 837-3174
Mailing address
326 S 9TH ST, SUNNYSIDE, WA 98944-1570
(509) 837-3005
(509) 837-3174
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1355TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029155
—
WA
01
—
5385690001
DMERC
WA
Enumeration date
07/17/2007
Last updated
07/16/2009
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