| |
2655 Wheaton Way, Bremerton, WA 98310-3318 | |
(360) 377-3703 | |
(360) 377-9469 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 2655 Wheaton Way, Bremerton, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972712354 | NPI | - | NPPES |
7071863 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OD00003606 (Washington) | Secondary |
207W00000X | Ophthalmology | MD00031837 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
2655 Wheaton Way, Bremerton, WA 98310-3318 Ph: (360) 377-3703 | 2655 Wheaton Way, Bremerton, WA 98310-3318 Ph: (360) 377-3703 |