Everson Vision Clinic Incorporated
Optometrist · Everson, WA
Practice location
205 W Main StEverson, WA 98247-8256
- Phone
- (360) 966-0445
- Fax
- (360) 966-0445
NPI record
- NPI
- 1447650189
- Entity type
- Organization (Type 2)
- Enumeration date
- August 29, 2014
- Last updated
- August 29, 2014
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X |
00003776 | WA |
Mailing address
PO Box 853Everson, WA 98247-0853
- Phone
- (360) 966-0445
- Fax
- (360) 966-0445
Authorized official
- Name
- Alex Ilyin, OD
- Title
- Owner
- Phone
- (360) 966-0445
About Everson Vision Clinic Incorporated
Everson Vision Clinic Incorporated is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 205 W Main St, Everson, WA 98247-8256. The NPI number 1447650189 was assigned on August 29, 2014 and the record was last updated on August 29, 2014.
Everson Vision Clinic Incorporated lists a license in the registry: #00003776 (WA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Alex Ilyin, OD, Owner.
Frequently asked questions
What is the NPI number of Everson Vision Clinic Incorporated?
The NPI number is 1447650189.
What is the phone number of Everson Vision Clinic Incorporated?
The phone number listed for the practice location is (360) 966-0445.
Where is Everson Vision Clinic Incorporated located?
205 W Main St, Everson, WA 98247-8256.
What is the taxonomy code for Everson Vision Clinic Incorporated?
The primary taxonomy code is 152W00000X – Optometrist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Optometrist providers in Everson
- Alex Ilyin, OD205 West Main Street