Liberty Lake Eyecare Center Ps

LBN: Liberty Lake Eyecare Center Ps
Liberty Lake Eyecare Center Ps is an health care organization with primary practice located at 22011 E Country Vista Dr Ste 101 , Liberty Lake WA 99019-5242. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Liberty Lake Eyecare Center Ps can be contacted via phone (154) 178-6332, or through Ulrich, Bret Allen via phone (509) 893-7574.

Contact Information

Primary practice address
22011 E Country Vista Dr Ste 101 Liberty Lake WA 99019-5242
Phone: (154) 178-6332
Fax: (509) 893-3703
Website:
Map and Directions
Authorized official contact:
Name: Ulrich, Bret Allen Doctor of Optometry (OD)
Phone: (509) 893-7574

Health care specialties

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

Profile Details

NPI number 1609889039
LBN Legal business name Liberty Lake Eyecare Center Ps
DBA Doing business as
Authorized official Ulrich, Bret Allen Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated Sep 17th, 2021 - about 3 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 1609889039 NPPES
Washington MEDICAID 2023067

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