Liberty Lake Eyecare Center Ps in Liberty Lake - Optometrist
Liberty Lake Eyecare Center Ps - NPI 1609889039
Liberty Lake Eyecare Center Ps is a Optometrist in Liberty Lake, Washington. Liberty Lake Eyecare Center Ps practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Liberty Lake Eyecare Center Ps is 1609889039. The last update date is 2021-09-17.
Liberty Lake Eyecare Center Ps's current location address is 2207 N Molter Rd, Liberty Lake, Washington. You can contact this provider via phone number 5098937574 and fax number 5098933703. The mailing address for Liberty Lake Eyecare Center Ps is 2207 N Molter Rd, Liberty Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Liberty Lake Eyecare Center Ps |
|---|---|
| Address | 2207 N Molter Rd, Liberty Lake, Washington |
| Phone Number | 5098937574 |
| Fax Number | 5098933703 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ulrich Allen Bret |
| Credentials | OD |
| Telephone Number | 5098937574 |
NPI Number Detail
| NPI Number | 1609889039 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2021-09-17 |
Provider Mailing Address Detail
| Address | 2207 N Molter Rd |
|---|---|
| City | Liberty Lake |
| State | Washington (WA) |
| Post Code | 990197571 |
| Phone Number | 5098937574 |
| Fax Number | 5098933703 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2023067 | WA | -- |
Post Comment/ Review Below
Can you provide the Liberty Lake Eyecare Center Ps's physical address?
The Liberty Lake Eyecare Center Ps is physically located at 2207 N Molter Rd, in the city of Liberty Lake, WA, with the postal code 990197571.
Could you please provide the complete street address where Liberty Lake Eyecare Center Ps is physically located?
The Liberty Lake Eyecare Center Ps is physically situated at the following address: 2207 N Molter Rd, Liberty Lake, WA, 990197571.
What is Liberty Lake Eyecare Center Ps's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Liberty Lake Eyecare Center Ps is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date did the Liberty Lake Eyecare Center Ps receive its 1609889039 assignment from the Centers for Medicare & Medicaid Services?
The Liberty Lake Eyecare Center Ps was assigned its 1609889039 by the Centers for Medicare & Medicaid Services on 2006-08-15.
As of what date were the details related to Liberty Lake Eyecare Center Ps most recently updated or revised?
The information pertaining to Liberty Lake Eyecare Center Ps, including its address, specialty, and other relevant details, was last updated or revised on 2021-09-17.