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REVOLUTION-EYES LLC NPI 1689904864


NPI Information

NPI: 1689904864
Provider Name: REVOLUTION-EYES LLC
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
215 E BROADWAY AVE
MOSES LAKE, WA
ZIP 98837
Phone: (509) 771-9342
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REVOLUTION-EYES LLC is a corneal and contact management optometrist in Moses Lake, WA. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. REVOLUTION-EYES LLC NPI is 1689904864. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

215 E BROADWAY AVE
MOSES LAKE, WA
ZIP 98837-717
Phone: (509) 771-9342
Fax: (509) 765-0204

The provider's authorized official is Kevin Douglas Osborne .
The authorized official title is Owner and has the following contact phone number (509) 771-9342.

The enumeration date for this NPI number is 1/11/2010 and was last updated on 1/11/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WC0802XOptometristCorneal and Contact Management602967641WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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