Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 1438TX | WA |
NPI | 1003880030 |
---|---|
Provider Name | Dr. Myles A Mccartney |
First Address | Richland, WA 99354-3401 |
Second Address | Richland, WA 99354-3401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 07/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T02355 | (02) | WA |