Montesano Vision Center Pllc

NPI #1104112358 in Montesano, Washington

Provider Information

NPI Number: 1104112358
Entity Type: Organization
Organization Name: Montesano Vision Center Pllc
Primary Specialty: Optometrist
Enumeration Date: Jun 27, 2011
Last Updated: Aug 25, 2011

Practice Location

Address: 118 S MAIN ST
City: Montesano
State: Washington
ZIP Code: 98563-3709
Phone: (360) 249-3485

Authorized Official

Name: GEOFFREY F WILLS
Title: MEMBER
Phone: (360) 249-3485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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