| |
470 Spring Street Ste 200, Friday Harbor, WA 98250 | |
(360) 378-2637 | |
(360) 378-8947 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 470 Spring Street Ste 200, Friday Harbor, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013110196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OD00001213 (Washington) | Primary |
Provider Name | Aaron J Crain |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1831424928 PECOS PAC ID: 6305010604 Enrollment ID: I20111123000297 |
Mailing Address | Practice Location Address |
---|---|
921 Harvey Rd Ste A, Auburn, WA 98002-4294 Ph: (253) 833-2767 | 470 Spring Street Ste 200, Friday Harbor, WA 98250 Ph: (360) 378-2637 |