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Organization

CENTRAL WASHINGTON OPTICAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABEL W LI M.D. (MEMBER)
(509) 452-6611
Entity
Organization

Contact information

Practice address
301 N 1ST ST, SUNNYSIDE, WA 98944-1465
(509) 837-3845
Mailing address
3902 CREEKSIDE LOOP STE 110, YAKIMA, WA 98902-4876
(509) 248-5176

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
602255023
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1001118
WA
Enumeration date
07/20/2015
Last updated
07/20/2015
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