Mr Richard J Eggleston, MD | |
500 Port Dr, Clarkston, WA 99403-1835 | |
(509) 758-8811 | |
(509) 751-1188 |
Full Name | Mr Richard J Eggleston |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 500 Port Dr, Clarkston, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821088147 | NPI | - | NPPES |
000010145028 | Other | ID | REGENCE BLUE SHIELD OF IDAHO |
BYHC7 | Other | ID | BLUE CROSS OF IDAHO |
000010002377 | Other | ID | REGENCE BLUE SHIELD OF IDAHO |
20031 | Other | MEDICAL EYE SERVICE | |
MSIWAE400 | Other | WA | MOLINA HEALTHCARE |
33878 | Other | ID | BLUE CROSS OF IDAHO |
00010002377 | Other | FEDERAL BLUE CROSS | |
8927760 | Other | WA | CRIME VICTIMS COMPENSATION ACT |
123142 | Other | WA | LABOR & INDUSTRY |
12943 | Other | WA | GROUP HEALTH COOPERATIVE |
15192 | Other | ID | LABOR & INDUSTRY |
003681500 | Medicaid | ID | |
1051481 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | MD00014109 (Washington) | Primary |
207W00000X | Ophthalmology | M3387 (Idaho) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Mr Richard J Eggleston, MD 500 Port Dr, Clarkston, WA 99403-1835 Ph: (509) 758-8811 | Mr Richard J Eggleston, MD 500 Port Dr, Clarkston, WA 99403-1835 Ph: (509) 758-8811 |
Mark T Eggleston, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 500 Port Drive, Clarkston, WA 99403 Phone: 509-758-8811 Fax: 509-751-1188 | |
Chad Ryan Bouterse, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 500 Port Dr, Clarkston, WA 99403 Phone: 509-758-8811 Fax: 509-751-1188 |