| Colville Valley Eyecare, Pllc | |
|
298 S Main St, Suite 301, Colville, WA 99114-2447 | |
| (509) 684-2221 | |
| (509) 684-6222 |
| Full Name | Colville Valley Eyecare, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 298 S Main St, Colville, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871840835 | NPI | - | NPPES |
| 1043433 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1246 (Washington) | Primary |
| 152W00000X | Optometrist | 60083989 (Washington) | Secondary |
| Provider Name | Jonathan Wilson Harper |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104159284 PECOS PAC ID: 8527249218 Enrollment ID: I20110301000676 |
| Mailing Address | Practice Location Address |
|---|---|
| Colville Valley Eyecare, Pllc 298 S Main St, Suite 301, Colville, WA 99114-2447 Ph: (509) 684-2221 | Colville Valley Eyecare, Pllc 298 S Main St, Suite 301, Colville, WA 99114-2447 Ph: (509) 684-2221 |
Cheryl M Fenno, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 102 S Oak St, Colville, WA 99114 Phone: 509-684-5278 | |
Dr. Jonathan Wilson Harper, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 298 S Main St, Suite 301, Colville, WA 99114 Phone: 509-684-2221 Fax: 509-684-6222 | |
Fenno Eye Clinics Inc., P.s. Optometrist Medicare: Medicare Enrolled Practice Location: 102 S Oak St, Colville, WA 99114 Phone: 509-684-5278 | |
Kenton Scott Mcdougall, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 298 S Main St, Suite 301, Colville, WA 99114 Phone: 509-684-2221 Fax: 509-684-6222 | |
Michael Gregory Fenno, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 102 S Oak St, Colville, WA 99114 Phone: 509-684-5278 | |
H Theresa Porter, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 693 Hallerwood Way, Colville, WA 99114 Phone: 509-684-9293 | |
Northeastern Washington Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 102 S Oak St, Colville, WA 99114 Phone: 509-684-5278 Fax: 509-684-3268 |