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General NPI Number Information
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NPI Number | 1801948013
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Entity Type | Organization
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Legal Business Name | OPTIC ONE EYE CARE CENTERS OF SPOKANE PC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 513 E HASTINGS RD STE C
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City | SPOKANE
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State | WA
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Zip | 99218-1977
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Country | US
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Telephone | 509-328-2632
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Fax | 509-324-2377
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Provider Business Mailing Address
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Address Line | 513 E HASTINGS RD STE C
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City | SPOKANE
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State | WA
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Zip | 99218-1963
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Country | US
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Telephone | 509-328-2632
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Fax | 509-468-0191
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MELVIN L LINDAUER
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Credential | OD
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Telephone | 509-328-2632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD00003047
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License Number State | WA
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