Individual
EDWARD HENRY KOSNOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0879
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027373
—
WA
01
—
26984
LABOR & INDUSTRIES
WA
01
—
K00125
REGENCE
WA
Enumeration date
07/15/2005
Last updated
07/13/2026
Update your record
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