Lewis County Vision Source PC
NPI #1356710933 in Centralia, Washington
Provider Information
- NPI Number
- 1356710933
- Entity Type
- Organization
- Organization Name
- Lewis County Vision Source PC
- Primary Specialty
- Optometrist
- Enumeration Date
- Sep 24, 2015
- Last Updated
- Dec 23, 2015
Practice Location
- Address
- 1805 COOKS HILL RD
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-9072
- Phone
- (360) 736-4447
Authorized Official
- Name
- KELLY MICHELE PADGETT, OD
- Title
- OWNER
- Phone
- (360) 736-4447
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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