William A. Pellow X, OD

Optometrist · Republic, WA

Individual Active NPI

NPI number 1508964180

Practice location

90 N Clark Ave
Unit 3
Republic, WA 99166-5024
Phone
(509) 775-3800
Fax
(509) 775-3994

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NPI record

NPI
1508964180
Entity type
Individual (Type 1)
Enumeration date
September 20, 2006
Last updated
October 2, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 1669TX WA

Mailing address

PO Box 409
Republic, WA 99166-0409
Phone
(509) 775-3800
Fax
(509) 775-3994

About Dr. Pellow

William A. Pellow X, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 90 N Clark Ave, Unit 3, Republic, WA 99166-5024. The NPI number 1508964180 was assigned on September 20, 2006 and the record was last updated on October 2, 2012.

Dr. Pellow lists a license in the registry: #1669TX (WA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of William A. Pellow X, OD?

The NPI number is 1508964180.

What is the phone number of Dr. Pellow?

The phone number listed for the practice location is (509) 775-3800.

Where is Dr. Pellow located?

90 N Clark Ave, Unit 3, Republic, WA 99166-5024.

What is the taxonomy code for Dr. Pellow?

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.