Organization
AHRENS VALLEY EYEWORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD S AHRENS L.D.O. (OWNER/OPTICIAN)
(360) 794-5941
Entity
Organization
Contact information
Practice address
121 E MAIN ST, MONROE, WA 98272-1505
(360) 794-5941
(360) 200-5278
Mailing address
121 E MAIN ST, MONROE, WA 98272-1505
(360) 794-5941
(360) 200-5278
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2031557
—
WA
Enumeration date
04/30/2008
Last updated
04/30/2008
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