Organization
OPTICAL ELEGANCE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH SWEATT (PRESIDENT)
(509) 482-2020
Entity
Organization
Contact information
Practice address
235 E ROWAN AVE, SUITE 100, SPOKANE, WA 99207-1240
(509) 482-2020
(509) 482-2012
Mailing address
235 E ROWAN AVE, SUITE 100, SPOKANE, WA 99207-1240
(509) 482-2020
(509) 482-2012
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0506570001
STERLING OPTION ONE
WA
01
—
108163
PREMERA BLUE CROSS
WA
01
—
OP1983
ASURIS NW HEALTH
WA
01
—
WA10
LIFEWISE OF WASHINGTON
WA
Enumeration date
03/29/2007
Last updated
08/22/2020
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