Organization
ELLENSBURG VISION CLINIC, PS, INC
Active
Other names
Family Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BYRON E THOMAS O.D. (OWNER)
(509) 925-9873
Entity
Organization
Contact information
Practice address
301 E 2ND AVE, ELLENSBURG, WA 98926-3315
(509) 925-9873
(509) 962-1639
Mailing address
PO BOX 688, ELLENSBURG, WA 98926-0688
(509) 925-9873
(509) 962-1639
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
000788TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447267224
NPI NUMBER
WA
01
—
1841204260
NPI NUMBER
WA
Enumeration date
03/27/2007
Last updated
08/22/2020
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