npidexNPI registry + Medicare data

HAWKS PRAIRIE VISION CLINIC, P.S.

Preferred Provider Organization · LACEY, WA

Organization Active NPI 1952583536

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Preferred Provider Organization305R00000X✓OD00003048WA
Preferred Provider Organization305R00000X—WA

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.