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1410 Lakeside Ct Ste 103, Yakima, WA 98902-7305 | |
(509) 453-2010 | |
(509) 225-6421 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 1410 Lakeside Ct Ste 103, Yakima, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790349249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Jeffrey R Wilkinson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1497861041 PECOS PAC ID: 9830095728 Enrollment ID: I20031210001139 |
Provider Name | Leo D Figgs |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1841381746 PECOS PAC ID: 8325944200 Enrollment ID: I20050829000832 |
Provider Name | David A Moon |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1831116847 PECOS PAC ID: 8224032677 Enrollment ID: I20060828000155 |
Provider Name | Parker Faith |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1013304328 PECOS PAC ID: 5294056081 Enrollment ID: I20190614001193 |
Mailing Address | Practice Location Address |
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1410 Lakeside Ct Ste 103, Yakima, WA 98902-7305 Ph: (509) 453-2010 | 1410 Lakeside Ct Ste 103, Yakima, WA 98902-7305 Ph: (509) 453-2010 |