Organization
DR MAUREEN FAHEY AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAUREEN SUSAN FAHEY O.D. (PRESIDENT)
(509) 735-2050
Entity
Organization
Contact information
Practice address
117 N ELY ST, KENNEWICK, WA 99336-2941
(509) 735-2050
(509) 735-2288
Mailing address
117 N ELY ST, KENNEWICK, WA 99336-2941
(509) 735-2050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003148
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2032142
—
WA
Enumeration date
09/02/2006
Last updated
09/24/2009
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