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16010 E Indiana Ave, Spokane Valley, WA 99216 | |
(509) 928-8040 | |
(509) 928-0784 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 16010 E Indiana Ave, Spokane Valley, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205939709 | NPI | - | NPPES |
7081029 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Mark A Kontos |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1114938990 PECOS PAC ID: 5799784369 Enrollment ID: I20101111000090 |
Provider Name | Christopher W Sturbaum |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1457361560 PECOS PAC ID: 4880693456 Enrollment ID: I20110112000576 |
Provider Name | Casey D Claypool |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447480579 PECOS PAC ID: 6305009036 Enrollment ID: I20120516000622 |
Provider Name | Jason Albert Croskrey |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1609118439 PECOS PAC ID: 8729496245 Enrollment ID: I20210422002043 |
Mailing Address | Practice Location Address |
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16010 E Indiana Ave, Spokane Valley, WA 99216 Ph: (509) 928-8040 | 16010 E Indiana Ave, Spokane Valley, WA 99216 Ph: (509) 928-8040 |