Spokane Optical Company LLC
NPI #1972851020 in Spokane Valley, Washington
Provider Information
- NPI Number
- 1972851020
- Entity Type
- Organization
- Organization Name
- Spokane Optical Company LLC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Aug 21, 2012
- Last Updated
- Jan 20, 2015
Practice Location
- Address
- 16201 E INDIANA AVE
- Address 2
- 5000
- City
- Spokane Valley
- State
- Washington
- ZIP Code
- 99216-2830
- Phone
- (509) 924-7271
Authorized Official
- Name
- RANDALL K JACOBSON, MD
- Title
- PHYSICIAN
- Phone
- (509) 456-0107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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