Organization
VISION SOURCE WALLA WALLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN J DAVIS OD (OWNER)
(509) 529-9660
Entity
Organization
Contact information
Practice address
614 EAST ALDER ST, WALLA WALLA, WA 99362-2073
(509) 529-9660
(509) 529-4750
Mailing address
614 EAST ALDER ST, WALLA WALLA, WA 99362-2073
(509) 529-9660
(509) 529-4750
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
00001216
WA
152W00000X
Optometrist
00001578
WA
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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