Provider Demographics
NPI:1881236909
Name:VALLEY EYE AND VISION CLINIC , PLLC
Entity type:Organization
Organization Name:VALLEY EYE AND VISION CLINIC , PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:HOWELL
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:509-386-0297
Mailing Address - Street 1:519 SE MOCKINGBIRD DR
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:99324-1864
Mailing Address - Country:US
Mailing Address - Phone:509-386-0297
Mailing Address - Fax:
Practice Address - Street 1:845 E 3RD AVE STE 11
Practice Address - Street 2:
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-5902
Practice Address - Country:US
Practice Address - Phone:509-766-1880
Practice Address - Fax:509-766-1577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-09
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty