Organization
CORRECTIONAL INDUSTRIES - DOC
Active
Other names
AIRWAY OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES H PARKER (GENERAL MANAGER)
(509) 244-6748
Entity
Organization
Contact information
Practice address
11919 W SPRAGUE AVE, AIRWAY HEIGHTS, WA 99001
(509) 244-6748
(509) 244-6735
Mailing address
11919 W SPRAGUE AVE, AIRWAY HEIGHTS, WA 99001-1959
(509) 244-6748
(509) 244-6735
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020436
—
WA
Enumeration date
07/17/2007
Last updated
07/01/2008
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