Clemence Mendoza, OD | |
100 Ne Gilman Blvd, Issaquah, WA 98027-2925 | |
(425) 557-8000 | |
Not Available |
Full Name | Clemence Mendoza |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 100 Ne Gilman Blvd, Issaquah, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043880057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ATI4567 (Oregon) | Secondary |
152W00000X | Optometrist | OD61181803 (Washington) | Primary |
Provider Name | Virginia Mason Medical Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801851258 PECOS PAC ID: 9830002617 Enrollment ID: O20031107000383 |
Provider Name | Craddock Optometry, Ps |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255634481 PECOS PAC ID: 6608056833 Enrollment ID: O20110204000949 |
Mailing Address | Practice Location Address |
---|---|
Clemence Mendoza, OD Po Box 741515, Los Angeles, CA 90074-1515 Ph: (206) 515-5811 | Clemence Mendoza, OD 100 Ne Gilman Blvd, Issaquah, WA 98027-2925 Ph: (425) 557-8000 |
Dr. Frank Swenson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 700 Nw Gilman Blvd., Suite E-102, Issaquah, WA 98027 Phone: 425-391-1819 | |
Klahanie Eye Care Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4538 Klahanie Dr Se, Issaquah, WA 98029 Phone: 425-392-9982 Fax: 815-301-5473 | |
Dr. Michael Dennis Erickson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4538 Klahanie Dr Se, Issaquah, WA 98029 Phone: 425-392-9982 Fax: 815-301-5473 | |
Christina Schiller Od Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 970 5th Ave Nw Ste 120, Issaquah, WA 98027 Phone: 425-276-0388 | |
Dr. Teri Tsuchiya Yoshimura, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1145 Nw Gilman Blvd # G-12, Issaquah, WA 98027 Phone: 425-391-9331 Fax: 425-391-9331 | |
Issaquah Vision Source, Ps Optometrist Medicare: Medicare Enrolled Practice Location: 450 Nw Gilman Blvd, Ste 104, Issaquah, WA 98027 Phone: 425-392-8756 Fax: 425-391-8631 |