Organization
APPLE VALLEY EYE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE I LABISSONIERE (OFFICE MANAGER)
(509) 966-8801
Entity
Organization
Contact information
Practice address
1121 S 40TH AVE, YAKIMA, WA 98908-3930
(509) 966-8801
(509) 965-9804
Mailing address
1121 S 40TH AVE, YAKIMA, WA 98908-3930
(509) 966-8801
(509) 965-9804
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1006
WA
152W00000X
Optometrist
Primary
3993
WA
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020998
—
WA
Enumeration date
09/23/2005
Last updated
01/03/2013
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