Organization
APPLE VALLEY OPTOMETRY PC
Active
Other names
Apple Valley Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MARK LARSEN OD (OPTOMETRIST/OWNER)
(509) 966-8801
Entity
Organization
Contact information
Practice address
1121 S 40TH AVE, YAKIMA, WA 98908-3930
(509) 966-8801
(509) 965-9804
Mailing address
1121 S 40TH AVE, YAKIMA, WA 98908-3930
(509) 966-8801
(509) 965-9804
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60728167
WA
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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