person
John L Bratlie, OPTICIAN
Optician in Omak, Washington
NPI 1033356035

John L Bratlie is a Optician based in Wenatchee, WA and is specialized in Optician. John L Bratlie practices in Omak, WA and has the professional credentials of OPTICIAN. The NPI Number for John L Bratlie is 1033356035 and holds a License No. DO00000500 (Washington).

The current practice location address for John L Bratlie is 916 Koala Ave, Omak, WA and can be reached out via phone at 509-826-1800.

Location: 916 Koala Ave, Omak, WA, 98801-2028
person
Provider Profile Details
NPI Number
1033356035
Provider Name
John L Bratlie
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
916 Koala Ave, Omak, WA, 98801-2028
Phone Number
509-826-1800
Fax Number
Provider Enumeration Date
01/13/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0244743 01 WA L&I
institution
Provider Business Practice Location Address Details
Address
916 Koala Ave
City
State
Zip
98841-9576
Phone Number
509-826-1800
Fax Number
person
Provider Business Mailing Address Details
Address
916 Koala Ave
City
State
Zip
98841-9576
Phone Number
509-826-1800
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
DO00000500 (Washington)
Definition
Definition to come...
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