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Individual

DR. KARL BRANDON CZIRR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4309 W 27TH PL, SUITE 102, KENNEWICK, WA 99338-2904
(509) 737-2010
(509) 737-2012
Mailing address
2459 S UNION PL STE 120, KENNEWICK, WA 99338
(509) 737-2010
(509) 591-0012

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3567TX
WA
152WC0802X
Corneal and Contact Management Optometrist
3567TX
WA
152WP0200X
Pediatric Optometrist
3567TX
WA
152WS0006X
Sports Vision Optometrist
3567TX
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
912051509
EMPLOYER IDENTIFICATION #
WA
Enumeration date
05/09/2006
Last updated
10/19/2017
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