| |
1133 Us Highway 2, Suite G, Leavenworth, WA 98826-1439 | |
(509) 548-7379 | |
(509) 548-4524 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1133 Us Highway 2, Leavenworth, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538219787 | NPI | - | NPPES |
2023893 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
1133 Us Highway 2, Suite G, Leavenworth, WA 98826-1439 Ph: (509) 548-7379 | 1133 Us Highway 2, Suite G, Leavenworth, WA 98826-1439 Ph: (509) 548-7379 |