NPI 1386992717

Spokane Optical Company LLC

Organisation Eyewear Supplier Spokane, WA

Practice location

Address: 9651 N Nevada St, Spokane, WA 99218
Phone: (509) 489-1272
Fax: (509) 489-8756
Mailing address: 427 S Bernard St, Spokane, WA 99204-2509

Authorised official

Name: Randall K Jacobson
Title: Physician
Phone: (509) 456-0107

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 602617024 (WA)

Other Eyewear Supplier providers in Washington →

Registry record

NPI: 1386992717
Entity type: Organization
NPI issued: 15 Aug 2012
Record last updated: 18 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.