Provider Demographics
NPI:1770858789
Name:ENCORE VISION, INC
Entity Type:Organization
Organization Name:ENCORE VISION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:CASE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-482-9037
Mailing Address - Street 1:15735 E BROADWAY AVE STE 3C2
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99037-8547
Mailing Address - Country:US
Mailing Address - Phone:509-922-0795
Mailing Address - Fax:509-924-4764
Practice Address - Street 1:15735 E BROADWAY AVE STE 3C2
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99037-8547
Practice Address - Country:US
Practice Address - Phone:509-922-0795
Practice Address - Fax:509-924-4764
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENCORE VISION, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-09
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier