Individual
JEFF WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1410 LAKESIDE CT STE 103, YAKIMA, WA 98902-7305
(509) 453-2010
Mailing address
1410 LAKESIDE CT STE 103, YAKIMA, WA 98902-7305
(509) 453-2010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003392
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2025393
—
WA
Enumeration date
08/23/2006
Last updated
07/08/2007
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