Jason M Bleazard, OD | |
1515 E Columbia St, Othello, WA 99344-1846 | |
(509) 488-5256 | |
(509) 488-9939 |
Full Name | Jason M Bleazard |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 13 Years |
Location | 1515 E Columbia St, Othello, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467734889 | NPI | - | NPPES |
2020602 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OD60231221 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Columbia Basin Health Association | 4486564309 | 35 |
Provider Name | Columbia Basin Health Association |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528316379 PECOS PAC ID: 4486564309 Enrollment ID: O20040209000250 |
Mailing Address | Practice Location Address |
---|---|
Jason M Bleazard, OD 1515 E Columbia St, Othello, WA 99344-1846 Ph: (509) 488-5256 | Jason M Bleazard, OD 1515 E Columbia St, Othello, WA 99344-1846 Ph: (509) 488-5256 |
Jordan Earl, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 509-488-5256 Fax: 509-488-9939 | |
Dr. Robert D Forbes, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 509-488-5256 Fax: 509-488-9939 | |
Columbia Basin Health Association Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 509-488-5256 Fax: 509-488-9939 |