| Liberty Lake Eyecare Center Ps | |
|
22011 E Country Vista Dr Ste 101, Liberty Lake, WA 99019-5242 | |
| (154) 178-6332 | |
| (509) 893-3703 |
| Full Name | Liberty Lake Eyecare Center Ps |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 22011 E Country Vista Dr Ste 101, Liberty Lake, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609889039 | NPI | - | NPPES |
| 2023067 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Bret A Ulrich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821001256 PECOS PAC ID: 4688575368 Enrollment ID: I20040116000233 |
| Provider Name | Kurt R Russell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710100532 PECOS PAC ID: 8426294281 Enrollment ID: I20130423000444 |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Lake Eyecare Center Ps 2207 N Molter Rd, Suite 100, Liberty Lake, WA 99019-7571 Ph: (509) 893-7574 | Liberty Lake Eyecare Center Ps 22011 E Country Vista Dr Ste 101, Liberty Lake, WA 99019-5242 Ph: (154) 178-6332 |
Michelle Darnell, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23505 E Appleway Ave Ste 106, Liberty Lake, WA 99019 Phone: 509-210-0303 Fax: 509-242-3180 | |
Lakeside Vision, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 22106 E Country Vista Dr, Suite A, Liberty Lake, WA 99019 Phone: 509-927-2020 Fax: 509-927-0101 | |
Dr. Laura J Fischer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 22106 E Country Vista Dr, Suite A, Liberty Lake, WA 99019 Phone: 509-927-2020 | |
Dr. Bret Allen Ulrich, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 22011 E Country Vista Dr, Ste 101, Liberty Lake, WA 99019 Phone: 509-893-7574 Fax: 509-893-3703 | |
Lilac Family Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 23505 E Appleway Ave Ste 106, Liberty Lake, WA 99019 Phone: 509-998-7127 | |
Dr. Daniel Nyle Garn, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2207 N Molter Rd, Suite 100, Liberty Lake, WA 99019 Phone: 509-893-7574 Fax: 509-893-3703 |