Organization
CHARLES WALTER PETERSON O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WALTER PETERSON O.D. (OWNER)
(509) 662-3937
Entity
Organization
Contact information
Practice address
630 N CHELAN AVE STE B1, WENATCHEE, WA 98801-6622
(509) 662-3937
Mailing address
630 N CHELAN AVE STE B1, WENATCHEE, WA 98801-6622
(509) 662-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003914
WA
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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