Organization
MID COLUMBIA EYECARE CENTER, INC, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMELIA SIFUENTEZ (OFFICE MANAGER)
(509) 547-9695
Entity
Organization
Contact information
Practice address
4403 W COURT ST STE J, PASCO, WA 99301-2879
(509) 547-9695
(509) 547-5017
Mailing address
4403 W COURT ST STE J, PASCO, WA 99301-2879
(509) 547-9695
(509) 547-5017
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020683
—
WA
Enumeration date
06/12/2007
Last updated
12/06/2023
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