Individual
JEFFREY R URNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8200 W GRANDRIDGE BLVD, KENNEWICK, WA 99336-1680
(509) 736-0826
(509) 735-6868
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
(360) 807-7687
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001684
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410022657
RAIL ROAD MEDICARE
WA
01
—
410043341
RAIL ROAD MEDICARE
WA
01
—
410043347
RAIL ROAD MEDICARE
ID
01
—
410045033
RAIL ROAD MEDICARE
WA
01
—
410045034
RAIL ROAD MEDICARE
OR
Enumeration date
08/24/2006
Last updated
06/06/2011
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