Organization
SPOKANE OPTICAL COMPANY LLC
Active
Other names
Spokane Optical Company, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JANIS SIMPSON (CEO)
(509) 456-0107
Entity
Organization
Contact information
Practice address
427 S BERNARD ST, SPOKANE, WA 99204-2509
(509) 456-0107
(509) 747-2635
Mailing address
427 S BERNARD ST, SPOKANE, WA 99204-2509
(509) 456-0107
(509) 747-2635
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
602382529
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10803
LABOR AND INDUSTRIES
WA
05
—
1922006758
—
ID
05
—
1922006758
—
WA
Enumeration date
07/14/2005
Last updated
01/16/2015
About Stedi
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