| Auburn Vision Clinic | |
|
604 E Main St Auburn WA 98002-5602 | |
| (253) 833-6060 | |
| (253) 833-3591 |
| Full Name | Auburn Vision Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 604 E Main St, Auburn, Washington |
| Authorized Official Name and Position | Edward M Kosnoski (OWNER) |
| Authorized Official Contact | 2538522020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Auburn Vision Clinic Po Box 6609 Kent WA 98064-6609 Ph: (253) 852-2020 | Auburn Vision Clinic 604 E Main St Auburn WA 98002-5602 Ph: (253) 833-6060 |
| NPI Number | 1255411260 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255411260 | NPI | - | NPPES |
| 1006117 | Medicaid | WA | |
| DF8532 | Other | WA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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