Organization
KOSNOSKI EYE CARE INC
Active
Other names
South Hill Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD M KOSNOSKI OD (OWNER)
(253) 852-2020
Entity
Organization
Contact information
Practice address
12511 MERIDIAN E, PUYALLUP, WA 98373-3425
(253) 848-8988
Mailing address
10002 SE 240TH ST, KENT, WA 98031-4839
(253) 852-2020
(253) 854-2020
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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