Leavenworth Vision Source is a
Optometrist based in Leavenworth, Washington. Leavenworth Vision Source is licensed to practice in * (Not Available) (license number ) and their current practice location is
1133 Us Highway 2, Suite G, Leavenworth, Washington. It can be reached at their office (for appointments etc.) via phone at
(509) 548-7379.
NPI number for Leavenworth Vision Source is 1538219787 and their current mailing address is 1133 Us Highway 2, Suite G, Leavenworth, Washington. Leavenworth Vision Source
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1538219787.
Healthcare Provider's Profile
| Full Name | Leavenworth Vision Source |
|---|
| Type | Facility |
|---|
| Speciality | Optometrist |
|---|
| Location | 1133 Us Highway 2, Leavenworth, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1538219787
- Provider Enumeration Date: 01/11/2007
- Last Update Date: 03/25/2023
Medical Identifiers
Medical identifiers for Leavenworth Vision Source such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538219787 | NPI | - | NPPES |
| 2023893 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leavenworth Vision Source is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Leavenworth Vision Source
1133 Us Highway 2, Suite G,
Leavenworth, WA 98826-1439
Ph: (509) 548-7379 | Leavenworth Vision Source
1133 Us Highway 2, Suite G,
Leavenworth, WA 98826-1439
Ph: (509) 548-7379 |
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