Dane Sultzer, OD | |
1123 W Fairview Ave, Spokane, WA 99205 | |
(808) 392-7230 | |
Not Available |
Full Name | Dane Sultzer |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 8 Years |
Location | 1123 W Fairview Ave, Spokane, Washington |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992156749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OD60662940 (Washington) | Primary |
152W00000X | Optometrist | ODP-100371 (Idaho) | Secondary |
Provider Name | Outlook Vision Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235314964 PECOS PAC ID: 2769477926 Enrollment ID: O20080728000101 |
Provider Name | Eye And Wellness, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174065783 PECOS PAC ID: 8729364286 Enrollment ID: O20170417002034 |
Mailing Address | Practice Location Address |
---|---|
Dane Sultzer, OD 1123 W Fairview Ave, Spokane, WA 99205 Ph: () - | Dane Sultzer, OD 1123 W Fairview Ave, Spokane, WA 99205 Ph: (808) 392-7230 |
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