Kornmesser Optometry Clinic INC Ps.

NPI #1649403122 in Shelton, Washington

Provider Information

NPI Number: 1649403122
Entity Type: Organization
Organization Name: Kornmesser Optometry Clinic INC Ps.
Primary Specialty: Optometrist
Enumeration Date: Aug 31, 2009
Last Updated: Mar 18, 2011

Practice Location

Address: 422 W BIRCH ST
City: Shelton
State: Washington
ZIP Code: 98584-1735
Phone: (360) 426-5578

Authorized Official

Name: MS. MERRIEANN GODDING
Title: MANAGER
Phone: (360) 426-5578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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