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Creviston and Pedersen LLC

Optometrist in Moses Lake, WA · enumerated 2007 · authorized official Laurie Sheppard, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174641690

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Registry record

Entity type Organization (Type 2)
Legal business name Creviston and Pedersen LLC
Other name <Unavail>
Practice address 601 S Pioneer Way, Suite D, Moses Lake, WA, 98837
Phone (509) 765-2125
Fax (509) 766-0147
Enumeration date Mar 26, 2007
Last updated in NPPES Nov 11, 2008

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Primary

Authorized official

Name Laurie Sheppard
Title Office Manager
Phone (509) 765-2125

Other identifiers

Identifier Type State Issuer
2001428 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Creviston and Pedersen LLC?
The NPI for Creviston and Pedersen LLC is 1174641690, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Creviston and Pedersen LLC?
NPPES lists Laurie Sheppard (Office Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-11-11.