Liberty Lake Eyecare Center Ps

NPI #1609889039 in Liberty Lake, Washington

Provider Information

NPI Number: 1609889039
Entity Type: Organization
Organization Name: Liberty Lake Eyecare Center Ps
Primary Specialty: Optometrist
Enumeration Date: Aug 15, 2006
Last Updated: Sep 17, 2021

Practice Location

Address: 22011 E COUNTRY VISTA DR STE 101
City: Liberty Lake
State: Washington
ZIP Code: 99019-5242
Phone: (154) 178-6332

Authorized Official

Name: BRET ALLEN ULRICH, OD
Title: PRESIDENT
Phone: (509) 893-7574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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