Enumclaw Family Optometry Clinic Ps in Enumclaw, WA

Enumclaw Family Optometry Clinic Ps is a medicare enrolled "Optometrist" provider in Enumclaw, Washington. Their current practice location is 2726 Griffin Ave, Ste B, Enumclaw, Washington. You can reach out to their office (for appointments etc.) via phone at (360) 825-3000.

Enumclaw Family Optometry Clinic Ps is licensed to practice in Washington (license number 1619) and it also participates in the medicare program. Enumclaw Family Optometry Clinic Ps is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1841232121.

Contact Information

	Enumclaw Family Optometry Clinic Ps
	2726 Griffin Ave, Ste B, Enumclaw, WA 98022-2362
	(360) 825-3000
	(360) 825-8408

Map and Direction

Healthcare Provider's Profile

Full Name	Enumclaw Family Optometry Clinic Ps
Type	Facility
Speciality	Optometrist
Location	2726 Griffin Ave, Enumclaw, Washington
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841232121
Provider Enumeration Date: 06/12/2006
Last Update Date: 08/15/2023

Medicare PECOS Information:

PECOS PAC ID: 1850430315
Enrollment ID: O20091123000661

Medical Identifiers

Medical identifiers for Enumclaw Family Optometry Clinic Ps such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841232121	NPI	-	NPPES
SH2147	Other	WA	REGENCE
1020256	Medicaid	WA
2016699	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1619 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Enumclaw Family Optometry Clinic Ps acts as a billing entity for following providers:

Provider Name	Paul Shepherd
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1093918013 PECOS PAC ID: 6305985862 Enrollment ID: I20091123000658

Provider Name	Alexander Shepherd
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1649644576 PECOS PAC ID: 5395046940 Enrollment ID: I20151223001824

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Enumclaw Family Optometry Clinic Ps is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Enumclaw Family Optometry Clinic Ps 2726 Griffin Ave, Ste B, Enumclaw, WA 98022-2362 Ph: (360) 825-3000	Enumclaw Family Optometry Clinic Ps 2726 Griffin Ave, Ste B, Enumclaw, WA 98022-2362 Ph: (360) 825-3000

Reviews and Comments

Optometrist in Enumclaw, WA

Enumclaw Vision Clinic Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 2823 Griffin Ave, Enumclaw, WA 98022 Phone: 360-825-1614 Fax: 360-825-8034
Paul Shepherd, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2726 Griffin Ave Ste B, Enumclaw, WA 98022 Phone: 360-825-3000 Fax: 360-825-8408
Alexander Shepherd, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2726 Griffin Ave Ste B, Enumclaw, WA 98022 Phone: 360-825-3000 Fax: 360-825-8408
Mark A Seaburg, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2823 Griffin Ave, Enumclaw, WA 98022 Phone: 360-825-1614 Fax: 360-825-8034
Evergreen Eye Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2820 Griffin Ave Ste 101, Enumclaw, WA 98022 Phone: 360-802-4549 Fax: 360-825-8354

Enumclaw Family Optometry Clinic Ps - Medicare Optometrist in Enumclaw, WA