Blue Wave Eye Doctors Professional Limited Liability Company | |
305 Se Everett Mall Way Ste 21, Everett, WA 98208-3250 | |
(425) 386-8428 | |
(425) 267-0575 |
Full Name | Blue Wave Eye Doctors Professional Limited Liability Company |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 305 Se Everett Mall Way Ste 21, Everett, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053060475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Amenda Y W Chou |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1396822896 PECOS PAC ID: 3375564263 Enrollment ID: I20051207000457 |
Provider Name | Patrick Gerard Squires |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1114096146 PECOS PAC ID: 0547257123 Enrollment ID: I20070221000246 |
Provider Name | Karin Lea-anne Ma |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770659211 PECOS PAC ID: 4183756182 Enrollment ID: I20100709000051 |
Provider Name | Kuljeet Singh |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1659424661 PECOS PAC ID: 1658497870 Enrollment ID: I20100924001122 |
Provider Name | Katherine Diane Gunther |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124247044 PECOS PAC ID: 8820217573 Enrollment ID: I20140912000096 |
Provider Name | Ashley D Mccain |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912261595 PECOS PAC ID: 5496977092 Enrollment ID: I20171206002966 |
Provider Name | Prabhdeep Johal |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1801411574 PECOS PAC ID: 9830512516 Enrollment ID: I20200714001694 |
Provider Name | Upkar Dhaliwal |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1497323208 PECOS PAC ID: 7810395027 Enrollment ID: I20211001002544 |
Provider Name | Jasonpreet Dhaliwal |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1972176006 PECOS PAC ID: 7416330683 Enrollment ID: I20220822000445 |
Provider Name | Gulroop Hansra |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942358296 PECOS PAC ID: 5698068898 Enrollment ID: I20230104002370 |
Provider Name | Mansi Dipak Shah |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1225455264 PECOS PAC ID: 7416279096 Enrollment ID: I20230109001755 |
Provider Name | Wontae Yoo |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1093282394 PECOS PAC ID: 0941671739 Enrollment ID: I20230112002888 |
Provider Name | Jeff Chu |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1649601543 PECOS PAC ID: 0143691261 Enrollment ID: I20230126002978 |
Provider Name | Pei Wen Hua |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740913375 PECOS PAC ID: 0749651651 Enrollment ID: I20230131002617 |
Provider Name | Mohammad Alzeir |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750006409 PECOS PAC ID: 9436504347 Enrollment ID: I20231012003328 |
Provider Name | Harold A Schulz |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447306717 PECOS PAC ID: 3173768819 Enrollment ID: I20231018003933 |
Provider Name | Kirkland Devers |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1174242879 PECOS PAC ID: 0941656953 Enrollment ID: I20231027000770 |
Mailing Address | Practice Location Address |
---|---|
Blue Wave Eye Doctors Professional Limited Liability Company 175 E Houston St, San Antonio, TX 78205-2299 Ph: (726) 444-4078 | Blue Wave Eye Doctors Professional Limited Liability Company 305 Se Everett Mall Way Ste 21, Everett, WA 98208-3250 Ph: (425) 386-8428 |
David E. Harris, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2930 Maple St, Everett, WA 98201 Phone: 425-261-1500 | |
Vanessa Victoria Gregorius, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12728 19th Ave Se # 102, Everett, WA 98208 Phone: 425-353-5544 | |
Dr. William Stuart Church, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3700 Colby Ave, Everett, WA 98201 Phone: 425-252-3937 Fax: 425-259-3895 | |
Silver Lake Eye Care Center Optometrist Medicare: Medicare Enrolled Practice Location: 10101 19th Ave Se Ste B, Everett, WA 98208 Phone: 763-762-3247 | |
Dr. Anthony Michael Belekanich, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: Naval Branch Health Clinic Everett, 2000 West Marine View Drive, Everett, WA 98207 Phone: 425-304-4067 | |
Miss Caitlin Elizabeth Golberg, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3802 Colby Ave, Everett, WA 98201 Phone: 425-339-5436 Fax: 425-339-5402 |