Organization
CASCADE EYE CARE PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM V CHESLOCK OD (PRESIDENT)
(360) 577-1500
Entity
Organization
Contact information
Practice address
950 11TH AVE, LONGVIEW, WA 98632-2504
(360) 577-1500
(360) 425-0735
Mailing address
950 11TH AVE, LONGVIEW, WA 98632-2504
(360) 577-1500
(360) 425-0735
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
601758763
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027084
—
WA
01
—
410047498
RAILROAD MEDICARE
WA
Enumeration date
11/08/2006
Last updated
05/14/2013
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