Individual
MR. DOUGLAS GERALD QUESNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7405 W GRANDRIDGE BLVD, KENNEWICK, WA 99336-6708
(509) 736-0710
(509) 736-0751
Mailing address
7401 W GRANDRIDGE BLVD STE 202, KENNEWICK, WA 99336-7831
(509) 736-0710
(509) 736-0751
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1104TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15823
LABOR AND INDUSTRIES
WA
05
—
2722304
—
WA
01
—
50524
DAVIS VISION
WA
Enumeration date
10/05/2005
Last updated
10/01/2013
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