Organization
YAKIMA VISION CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN LAIBLE FARMER O.D. (OPTOMETRIC PHYSICIAN/OWNER)
(509) 965-5200
Entity
Organization
Contact information
Practice address
2010 W LINCOLN AVE, SUITE 1, YAKIMA, WA 98902-2413
(509) 965-5200
(509) 452-7563
Mailing address
2010 W LINCOLN AVE, SUITE 1, YAKIMA, WA 98902-2413
(509) 965-5200
(509) 452-7563
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OD00003018
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2034494
—
WA
01
—
G8872148
MEDICARE PTAN
WA
Enumeration date
02/26/2008
Last updated
05/04/2012
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