| Innovations In Eyecare Inc. | |
|
1125 Mellen St, Centralia, WA 98531-1173 | |
| (360) 736-7385 | |
| (360) 736-8568 |
| Full Name | Innovations In Eyecare Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1125 Mellen St, Centralia, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417193913 | NPI | - | NPPES |
| 2005916 | Medicaid | WA | |
| DR4454 | Other | WA | RAILROAD MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1421 (Washington) | Primary |
| Provider Name | Joseph L Dolezal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629117023 PECOS PAC ID: 8325103088 Enrollment ID: I20090211000858 |
| Mailing Address | Practice Location Address |
|---|---|
| Innovations In Eyecare Inc. 1125 Mellen St, Centralia, WA 98531-1173 Ph: (360) 736-7385 | Innovations In Eyecare Inc. 1125 Mellen St, Centralia, WA 98531-1173 Ph: (360) 736-7385 |
Curtis D. Burghart, Od, Ps Optometrist Medicare: Medicare Enrolled Practice Location: 1203 S Gold St, Centralia, WA 98531 Phone: 360-736-4203 Fax: 360-736-7059 | |
Dr. Kelly Padgett Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1805 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-736-4447 Fax: 360-807-0324 | |
Dr. Kelly Michele Padgett, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1805 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-736-4447 Fax: 360-807-0324 | |
Dr. Joseph L. Dolezal, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1125 Mellen St, Centralia, WA 98531 Phone: 360-736-7385 Fax: 360-736-8568 | |
Dr. Curtis Dean Burghart, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1203 S Gold St, Centralia, WA 98531 Phone: 360-736-4203 Fax: 360-736-7059 |