NPI 1053358861

Linda R Medeski-Nicacio, OD

Practitioner Optometrist Vancouver, WA

Practice location

Address: 912 Main St, Vancouver, WA 98660-3136
Phone: (360) 694-6541
Fax: (360) 696-2578

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OD00001999 (WA)

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Registry record

NPI: 1053358861
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jun 2006
Record last updated: 17 Jun 2013

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.