Mill Creek Vision | |
15808 Mill Creek Blvd, Suite #110, Mill Creek, WA 98012-1500 | |
(425) 745-5650 | |
(425) 337-1342 |
Full Name | Mill Creek Vision |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 15808 Mill Creek Blvd, Mill Creek, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194094490 | NPI | - | NPPES |
2011344 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1409 (Washington) | Primary |
Provider Name | Zdravka Z Gueorguieva |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124095955 PECOS PAC ID: 7416962295 Enrollment ID: I20060215000550 |
Provider Name | Fred M Arima |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568441350 PECOS PAC ID: 2961661921 Enrollment ID: I20120309000655 |
Provider Name | Kurt R Russell |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1710100532 PECOS PAC ID: 8426294281 Enrollment ID: I20130423000444 |
Provider Name | Meimey T Wong |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134484330 PECOS PAC ID: 4789825514 Enrollment ID: I20130720000316 |
Provider Name | Jonathan Alan Jenness |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356897284 PECOS PAC ID: 1850659533 Enrollment ID: I20211202001903 |
Provider Name | Eui-hyun Curi Shin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619228731 PECOS PAC ID: 6103188297 Enrollment ID: I20221013003468 |
Provider Name | Dion Richard Di Blasi |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1538807631 PECOS PAC ID: 5799144994 Enrollment ID: I20230706002407 |
Mailing Address | Practice Location Address |
---|---|
Mill Creek Vision 15808 Mill Creek Blvd, Suite #110, Mill Creek, WA 98012-1500 Ph: (425) 745-5650 | Mill Creek Vision 15808 Mill Creek Blvd, Suite #110, Mill Creek, WA 98012-1500 Ph: (425) 745-5650 |
Sarah Youssef Makari, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14607 Main Street, Apartment A208, Mill Creek, WA 98012 Phone: 206-295-3989 | |
Dr. Tracy Voegeli, OD Optometrist Medicare: Medicare Enrolled Practice Location: 16708 Bothell Everett Hwy, Suite 103, Mill Creek, WA 98012 Phone: 425-481-4440 Fax: 425-481-4450 | |
Riley Forbes, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 16708 Bothell Everett Hwy Ste 103, Mill Creek, WA 98012 Phone: 425-481-4440 | |
Genna Lo, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 16708 Bothell Everett Hwy Ste 103, Mill Creek, WA 98012 Phone: 425-481-4440 Fax: 425-481-4450 | |
Milda Bandza, Optometrist Medicare: Medicare Enrolled Practice Location: 16300 Mill Creek Blvd Ste 118, Mill Creek, WA 98012 Phone: 425-742-2900 Fax: 425-745-0740 | |
Michael Scott Wagner, OD Optometrist Medicare: Medicare Enrolled Practice Location: 16708 Bothell Everett Hwy Ste 103, Mill Creek, WA 98012 Phone: 425-481-4440 |