Organization
EPHRATA EYE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA CLAYTON (MANAGER)
(509) 754-2020
Entity
Organization
Contact information
Practice address
1070 BASIN ST SW STE F, EPHRATA, WA 98823-1005
(509) 754-2020
(509) 754-9243
Mailing address
1070 BASIN ST SW STE F, EPHRATA, WA 98823-1005
(509) 754-2020
(509) 754-9243
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1908
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0681290001
MEDICARE DME
WA
05
—
2030252
—
WA
Enumeration date
09/02/2010
Last updated
08/01/2012
Update your record
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