Eye Care Optical is a
Ophthalmology based in Clarkston, Washington. Eye Care Optical is licensed to practice in Washington (license number MD00014109) and their current practice location is
500 Port Dr, Clarkston, Washington. It can be reached at their office (for appointments etc.) via phone at
(509) 758-8811.
NPI number for Eye Care Optical is 1972514917 and their current mailing address is 500 Port Dr, Clarkston, Washington. Eye Care Optical
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1972514917.
Healthcare Provider's Profile
| Full Name | Eye Care Optical |
|---|
| Type | Facility |
|---|
| Speciality | Ophthalmology |
|---|
| Location | 500 Port Dr, Clarkston, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972514917
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 09/20/2011
Medical Identifiers
Medical identifiers for Eye Care Optical such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972514917 | NPI | - | NPPES |
| 7088859 | Medicaid | WA | |
| 0123143 | Other | WA | LABOR & IND |
| CN6339 | Other | | RAILROAD MEDICARE |
| 000010006387 | Other | | REGENCE BLUE SHIELD |
| 24509 | Other | | GROUP HEALTH |
| 85977 | Other | ID | BLUE CROSS |
| 805350600 | Medicaid | ID | |
| 8927759 | Other | WA | CRIME VICTIMS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OD00003976 (Washington) | Secondary |
| 152W00000X | Optometrist | OPD-100067 (Idaho) | Secondary |
| 156FC0801X | Technician/technologist - Contact Lens Fitter | 601269693 (Washington) | Secondary |
| 207W00000X | Ophthalmology | MD00014109 (Washington) | Primary |
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. Eye Care Optical is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Eye Care Optical
500 Port Dr,
Clarkston, WA 99403-1835
Ph: (509) 758-8811 | Eye Care Optical
500 Port Dr,
Clarkston, WA 99403-1835
Ph: (509) 758-8811 |
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