Organization
MEDNIC PC
Active
Other names
Downtown Vision Centre
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA R MEDESKI-NICACIO O.D. (PRESIDENT)
(360) 694-6541
Entity
Organization
Contact information
Practice address
912 MAIN ST, VANCOUVER, WA 98660-3136
(360) 694-6541
(360) 696-2578
Mailing address
912 MAIN ST, VANCOUVER, WA 98660-3136
(360) 694-6541
(360) 696-2578
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OD00001808
WA
152W00000X
Optometrist
Primary
OD00001999
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2023133
—
WA
05
—
2023141
—
WA
Enumeration date
05/21/2007
Last updated
06/24/2013
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