Organization
FRAME FACTORY OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN M. MINDERMANN L.D.O. (OWNER)
(509) 624-5277
Entity
Organization
Contact information
Practice address
628 S WASHINGTON ST, SPOKANE, WA 99204-2518
(509) 624-5277
Mailing address
628 S WASHINGTON ST, SPOKANE, WA 99204-2518
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
601998700
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A4375
PREMERA SUBMITTER ID
WA
Enumeration date
02/07/2007
Last updated
08/07/2008
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