Ulrich, Bret Allen

Ulrich, Bret Allen is an individual health care provider with primary practice located at 22011 E Country Vista Dr Ste 101, Liberty Lake WA 99019-5242. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ulrich, Bret Allen can be contacted via phone (509) 893-7574.

Contact Information

Primary practice address
22011 E Country Vista Dr Ste 101 Liberty Lake WA 99019-5242
Fax: (509) 893-3703
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP844 Idaho
Eye and Vision Services Providers / Optometrist 152W00000X OD00002071 Washington

Profile Details

NPI number 1821001256
LBN Legal business name Ulrich, Bret Allen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Feb 19th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821001256 NPPES
Washington MEDICAID 2028173

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