Enumclaw Vision Clinic Pllc | |
2823 Griffin Ave, Enumclaw, WA 98022-2322 | |
(360) 825-1614 | |
(360) 825-8034 |
Full Name | Enumclaw Vision Clinic Pllc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 2823 Griffin Ave, Enumclaw, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043718257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1260 (Washington) | Primary |
Provider Name | Mark A Seaburg |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1720195910 PECOS PAC ID: 6406756618 Enrollment ID: I20040115000226 |
Mailing Address | Practice Location Address |
---|---|
Enumclaw Vision Clinic Pllc 2823 Griffin Ave, Enumclaw, WA 98022-2322 Ph: (360) 825-1614 | Enumclaw Vision Clinic Pllc 2823 Griffin Ave, Enumclaw, WA 98022-2322 Ph: (360) 825-1614 |
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 | |
Enumclaw Family Optometry Clinic Ps Optometrist Medicare: Medicare Enrolled Practice Location: 2726 Griffin Ave, Ste B, Enumclaw, WA 98022 Phone: 360-825-3000 Fax: 360-825-8408 | |
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 |