Vista Optometric

NPI #1609554229 in Wenatchee, Washington

Provider Information

NPI Number: 1609554229
Entity Type: Organization
Organization Name: Vista Optometric
Subpart: Yes (part of a larger organization)
Parent Organization: VISTA OPTOMETRIC
Primary Specialty: Optometrist
Enumeration Date: Jul 5, 2023
Last Updated: Jul 5, 2023

Practice Location

Address: 2000 N WENATCHEE AVE
City: Wenatchee
State: Washington
ZIP Code: 98801-1056
Phone: (509) 888-3370

Authorized Official

Name: DR. RUSSELL STEVEN LAKE, O.D.
Title: OPTOMETRIST
Phone: (760) 902-9758

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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