Organization
COLUMBIA CREST EYE CARE INC PS
Active
Parent organization
COLUMBIA CREST EYE CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLUMBIA CREST EYE CARE
Authorized official
MR. KENNETH C DEPEW OD (OWNER)
(509) 735-2020
Entity
Organization
Contact information
Practice address
7301 W DESCHUTES AVE STE B, KENNEWICK, WA 99336-7799
(509) 735-2020
(509) 783-2135
Mailing address
7301 W DESCHUTES AVE STE B, KENNEWICK, WA 99336-7799
(509) 735-2020
(509) 783-2135
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029155
—
WA
05
—
2074706
—
WA
Enumeration date
07/17/2007
Last updated
07/21/2022
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