Spokane Optical Company LLC
NPI #1386992717 in Spokane, Washington
Provider Information
- NPI Number
- 1386992717
- Entity Type
- Organization
- Organization Name
- Spokane Optical Company LLC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Aug 15, 2012
- Last Updated
- Jul 18, 2019
Practice Location
- Address
- 9651 N NEVADA ST
- City
- Spokane
- State
- Washington
- ZIP Code
- 99218
- Phone
- (509) 489-1272
Authorized Official
- Name
- DR. RANDALL K JACOBSON, M.D.
- Title
- PHYSICIAN
- Phone
- (509) 456-0107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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