Organization
COZZA OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA I COZZA LDO (VP/CO-OWNER)
(509) 489-2020
Entity
Organization
Contact information
Practice address
5503 N WALL ST, SUITE 1, SPOKANE, WA 99205-6402
(509) 489-2020
(509) 489-3387
Mailing address
5503 N WALL ST, SUITE 1, SPOKANE, WA 99205-6402
(509) 489-2020
(509) 489-3387
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1954
WA
156FX1800X
Optician
548
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022986
—
WA
Enumeration date
09/27/2006
Last updated
06/17/2013
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