Organization
VISION SOURCE OF WENATCHEE, PS
Active
Other names
Leavenworth Vision Source
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS ALLEN DONAGHEY (VICE PRESIDENT)
(509) 662-9671
Entity
Organization
Contact information
Practice address
1133 US HIGHWAY 2, SUITE G, LEAVENWORTH, WA 98826-1439
(509) 548-7379
(509) 548-4524
Mailing address
1133 US HIGHWAY 2, SUITE G, LEAVENWORTH, WA 98826-1439
(509) 548-7379
(509) 548-4524
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2023893
—
WA
Enumeration date
01/11/2007
Last updated
03/25/2023
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