Organization
KORNMESSER OPTOMETRY CLINIC INC PS.
Active
Other names
Dr. James H. Grimes
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MERRIEANN GODDING (MANAGER)
(360) 426-5578
Entity
Organization
Contact information
Practice address
422 W BIRCH ST, SHELTON, WA 98584-1735
(360) 426-5578
(360) 462-5580
Mailing address
422 W BIRCH ST, SHELTON, WA 98584-1735
(360) 426-5578
(360) 462-5580
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
09-0000870
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2467009
—
WA
Enumeration date
08/31/2009
Last updated
03/18/2011
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