Gillespie Eye Care | |
701 2nd Ave Se, Quincy, WA 98848-1531 | |
(509) 787-1581 | |
(509) 787-9176 |
Full Name | Gillespie Eye Care |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 701 2nd Ave Se, Quincy, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962728295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OD60178254 (Washington) | Primary |
Provider Name | Kyle Morgan Gillespie |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1649433459 PECOS PAC ID: 1052473097 Enrollment ID: I20101106000037 |
Provider Name | Gavin Lane Johnson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1194340745 PECOS PAC ID: 9234551110 Enrollment ID: I20200623001059 |
Mailing Address | Practice Location Address |
---|---|
Gillespie Eye Care 326 W 4100 N, Provo, UT 84604-6212 Ph: (509) 797-3641 | Gillespie Eye Care 701 2nd Ave Se, Quincy, WA 98848-1531 Ph: (509) 787-1581 |
Christopher Glen Petersen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 701 2nd Ave Se, Quincy, WA 98848 Phone: 509-787-1581 Fax: 509-787-9176 | |
Kyle Morgan Gillespie, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 701 2nd Ave Se, Quincy, WA 98848 Phone: 509-787-1581 |