Creviston and Pedersen LLC

NPI #1174641690 in Moses Lake, Washington

Provider Information

NPI Number: 1174641690
Entity Type: Organization
Organization Name: Creviston and Pedersen LLC
Primary Specialty: Optometrist
Enumeration Date: Mar 26, 2007
Last Updated: Nov 11, 2008

Practice Location

Address: 601 S PIONEER WAY
Address 2: SUITE D
City: Moses Lake
State: Washington
ZIP Code: 98837-4801
Phone: (509) 765-2125

Authorized Official

Name: LAURIE SHEPPARD
Title: OFFICE MANAGER
Phone: (509) 765-2125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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