NPI 1487017075

Paul Nefedov

Practitioner Optometrist Longview, WA

Practice location

Address: 600 Triangle Ctr STE 400, Longview, WA 98632-4667
Phone: (360) 423-0220
Fax: (360) 423-0697

Registered specialties (3)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ATI4325 (OR)

Other Optometrist providers in Washington →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 33688 (CA)

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence OD60997195 (WA)

Registry record

NPI: 1487017075
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Mar 2016
Record last updated: 17 Jun 2022

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.