Everson Vision Clinic Incorporated

NPI #1447650189 in Everson, Washington

Provider Information

NPI Number: 1447650189
Entity Type: Organization
Organization Name: Everson Vision Clinic Incorporated
Primary Specialty: Optometrist
Enumeration Date: Aug 29, 2014
Last Updated: Aug 29, 2014

Practice Location

Address: 205 W MAIN ST
City: Everson
State: Washington
ZIP Code: 98247-8256
Phone: (360) 966-0445

Authorized Official

Name: ALEX ILYIN, OD
Title: OWNER
Phone: (360) 966-0445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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