Individual
DR. BRET ALLEN ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
22011 E COUNTRY VISTA DR, STE 101, LIBERTY LAKE, WA 99019-5242
(509) 893-7574
(509) 893-3703
Mailing address
2207 N MOLTER RD, SUITE 100, LIBERTY LAKE, WA 99019-7571
(509) 893-7574
(509) 893-3703
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00002071
WA
152W00000X
Optometrist
ODP844
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2028173
—
WA
Enumeration date
08/15/2006
Last updated
02/19/2020
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