Organization
FIVE MILE EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE KERN (OFFICE MANAGER)
(509) 344-2020
Entity
Organization
Contact information
Practice address
6821 N COUNTRY HOMES BLVD, #101, SPOKANE, WA 99208-4372
(509) 344-2020
(509) 344-2021
Mailing address
6821 N COUNTRY HOMES BLVD, #101, SPOKANE, WA 99208-4372
(509) 344-2020
(509) 344-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2024149
—
WA
Enumeration date
04/19/2007
Last updated
04/13/2011
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