Organization
MEDICAL VISION CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD A CARROLL O.D. (OWNER)
(360) 496-5140
Entity
Organization
Contact information
Practice address
240 W. MAIN ST., MORTON, WA 98356
(360) 496-5140
(360) 496-6039
Mailing address
240 W. MAIN ST., P.O. BOX AC, MORTON, WA 98356
(360) 496-5140
(360) 496-6039
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00000957
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018240
—
WA
Enumeration date
06/18/2007
Last updated
08/22/2020
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