Organization
HAWKS PRAIRIE VISION CLINIC, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE LEE PIRANIO O.D. (DOCTOR)
(360) 459-3333
Entity
Organization
Contact information
Practice address
2539 MARVIN RD NE STE B, LACEY, WA 98516-3175
(360) 459-3333
(360) 459-2724
Mailing address
2539 MARVIN RD NE SUITE B, LACEY, WA 98516
(360) 459-3333
(360) 459-2724
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
OD00003048
WA
305R00000X
Preferred Provider Organization
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2025922
—
WA
01
—
DF2770
RAILROAD MEDICARE
—
Enumeration date
12/05/2007
Last updated
10/27/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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