Organization
KETTLE FALLS VISION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES HENRY REEVE O.D. (OWNER)
(509) 738-2191
Entity
Organization
Contact information
Practice address
W 355 3RD AVENUE, UNIT 2, KETTLE FALLS, WA 99141-9551
(509) 738-2191
(509) 738-4840
Mailing address
PO BOX 475, KETTLE FALLS, WA 99141-0475
(509) 738-2191
(509) 738-4840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001893
WA
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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