Kenneth J Absalonson, OD | |
427 S Bernard St, Spokane, WA 99204-2509 | |
(509) 456-0107 | |
(509) 747-2635 |
Full Name | Kenneth J Absalonson |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 11 Years |
Location | 427 S Bernard St, Spokane, 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 |
---|---|---|---|
1811206998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OD60388400 (Washington) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spokane Eye Clinic Inc, Ps | 1759278393 | 35 |
Provider Name | Multicare Health System |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Provider Name | Spokane Eye Clinic Inc, Ps |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730187899 PECOS PAC ID: 1759278393 Enrollment ID: O20040301000114 |
Mailing Address | Practice Location Address |
---|---|
Kenneth J Absalonson, OD 427 S Bernard St, Spokane, WA 99204-2509 Ph: (509) 456-0107 | Kenneth J Absalonson, OD 427 S Bernard St, Spokane, WA 99204-2509 Ph: (509) 456-0107 |
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