| |
3999 Englewood Ave #101, Yakima, WA 98902-6341 | |
(509) 452-2020 | |
(509) 452-8398 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 3999 Englewood Ave #101, Yakima, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982891651 | NPI | - | NPPES |
2031169 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OD00001309 (Washington) | Secondary |
207W00000X | Ophthalmology | MD00027176 (Washington) | Primary |
Provider Name | Steven M Wells |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1679581821 PECOS PAC ID: 6608819164 Enrollment ID: I20050606000673 |
Provider Name | Richard H Hopp |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1083622211 PECOS PAC ID: 6103841127 Enrollment ID: I20051010000334 |
Provider Name | Parker Faith |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1013304328 PECOS PAC ID: 5294056081 Enrollment ID: I20190614001193 |
Mailing Address | Practice Location Address |
---|---|
3999 Englewood Ave #101, Yakima, WA 98902-6341 Ph: (509) 452-2020 | 3999 Englewood Ave #101, Yakima, WA 98902-6341 Ph: (509) 452-2020 |