John P Rundle, MD | |
3200 Main Street, Vancouver, WA 98663 | |
(360) 696-4691 | |
(360) 823-2260 |
Full Name | John P Rundle |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 3200 Main Street, Vancouver, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184699746 | NPI | - | NPPES |
8196701 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | MD06391 (Oregon) | Secondary |
207W00000X | Ophthalmology | MD00010095 (Washington) | Primary |
Entity Name | Vancouver Eye Care Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356375042 PECOS PAC ID: 5799673364 Enrollment ID: O20040305000589 |
Mailing Address | Practice Location Address |
---|---|
John P Rundle, MD Po Box 61896, Vancouver, WA 98666-1896 Ph: (360) 823-2012 | John P Rundle, MD 3200 Main Street, Vancouver, WA 98663 Ph: (360) 696-4691 |
Adam Louis Rasky, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 505 Ne 87th Ave, Suite 100, Vancouver, WA 98664 Phone: 360-904-6781 Fax: 360-859-3173 | |
Matthew James Benage, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2525 Ne 139th St Ste 280, Vancouver, WA 98686 Phone: 360-882-2778 Fax: 360-604-1780 | |
Emanuel Tanne, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6517 Buena Vista Drive, Vancouver, WA 98661 Phone: 360-694-4777 Fax: 360-694-7062 | |
Matthew J Hauck, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2525 Ne 139th St Ste 280, Vancouver, WA 98686 Phone: 360-882-2778 Fax: 360-604-1780 | |
Dr. Adam F Braganza, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 14406 Ne 20th Ave, Vancouver, WA 98686 Phone: 360-418-6001 | |
Richard A Bernheimer Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 505 Ne 87th Ave, Suite 100, Vancouver, WA 98664 Phone: 360-904-6781 Fax: 360-859-3173 | |
Silvio Jose Gurdian, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3200 Main St, Vancouver, WA 98663 Phone: 360-696-4691 Fax: 360-823-2260 |