Vision Clinic

LBN: Creviston And Pedersen Llc
Vision Clinic is an health care organization with primary practice located at 601 S Pioneer Way Suite D, Moses Lake WA 98837-4801. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Creviston And Pedersen Llc can be contacted via phone (509) 765-2125, or through Sheppard, Laurie via phone (509) 765-2125.

Contact Information

Primary practice address
601 S Pioneer Way Suite D Moses Lake WA 98837-4801
Phone: (509) 765-2125
Fax: (509) 766-0147
Website:
Map and Directions
Authorized official contact:
Name: Sheppard, Laurie
Phone: (509) 765-2125

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1174641690
LBN Legal business name Creviston And Pedersen Llc
DBA Doing business as Vision Clinic
Authorized official Sheppard, Laurie
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Nov 11th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174641690 NPPES
Washington MEDICAID 2001428

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