Dr Stacy Maria Washington, OD | |
2120 E Calvada Blvd, Pahrump, NV 89048-5805 | |
(775) 727-8300 | |
Not Available |
Full Name | Dr Stacy Maria Washington |
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Gender | Female |
Speciality | Optometrist |
Location | 2120 E Calvada Blvd, Pahrump, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679592349 | NPI | - | NPPES |
17773580 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 13105 (California) | Primary |
152W00000X | Optometrist | 732 (Nevada) | Secondary |
Provider Name | G Dennis Leaks Od Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932452489 PECOS PAC ID: 9830340892 Enrollment ID: O20121121000512 |
Mailing Address | Practice Location Address |
---|---|
Dr Stacy Maria Washington, OD 5764 Shadow Bend Dr, Las Vegas, NV 89135-1252 Ph: (714) 600-9982 | Dr Stacy Maria Washington, OD 2120 E Calvada Blvd, Pahrump, NV 89048-5805 Ph: (775) 727-8300 |
Ronald W Dutton, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1601 E Basin Ave, Suite 101, Pahrump, NV 89060 Phone: 775-751-1791 Fax: 775-751-3991 | |
Keith Kohorst Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1141 S Highway 160 Ste 8, Pahrump, NV 89048 Phone: 775-727-7100 Fax: 775-727-4068 | |
Ashley Henkel, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1601 E Basin Ave Ste 101, Pahrump, NV 89060 Phone: 775-751-1791 | |
Dr. Keith Andrew Kohorst, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1141 S Highway 160 Ste 8, Pahrump, NV 89048 Phone: 775-727-7100 | |
Chin Choi, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 S Highway 160, Pahrump, NV 89048 Phone: 775-537-0111 | |
Clear Vision Eye Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1601 E Basin Ave, Suite 101, Pahrump, NV 89060 Phone: 775-751-1791 Fax: 775-751-3991 |