Provider Demographics
NPI:1942832845
Name:TRINITY VISION PLLC
Entity Type:Organization
Organization Name:TRINITY VISION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SNEED
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:509-637-3263
Mailing Address - Street 1:4750 N DIVISION ST STE 282
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-1433
Mailing Address - Country:US
Mailing Address - Phone:509-489-3920
Mailing Address - Fax:
Practice Address - Street 1:4750 N DIVISION ST STE 282
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1433
Practice Address - Country:US
Practice Address - Phone:509-489-3920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-07
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty