| Milton Eyecare Center, Llc | |
|
101 Milton Way, Milton, WA 98354-8800 | |
| (253) 922-0333 | |
| Not Available |
| Full Name | Milton Eyecare Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 101 Milton Way, Milton, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679123442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Garard M Gustafson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114919420 PECOS PAC ID: 5890988141 Enrollment ID: I20101020000027 |
| Provider Name | Jason K Walston |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750684122 PECOS PAC ID: 8123290624 Enrollment ID: I20170726002963 |
| Mailing Address | Practice Location Address |
|---|---|
| Milton Eyecare Center, Llc 101 Milton Way, Milton, WA 98354-8800 Ph: () - | Milton Eyecare Center, Llc 101 Milton Way, Milton, WA 98354-8800 Ph: (253) 922-0333 |
Dr. Garard Melvin Gustafson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 Milton Way, Milton, WA 98354 Phone: 253-922-0333 Fax: 253-922-7322 | |
Teresa A Erickson Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 900 Meridian Ave E Ste 18, Milton, WA 98354 Phone: 253-927-5252 Fax: 253-927-4270 | |
Milton-edgewood Eye Clinic, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 900 Meridian E Ste 18, Milton, WA 98354 Phone: 253-927-5252 Fax: 253-927-4270 | |
Dr. Chelsea Taylor Dewalt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 900 Meridian E Ste 18, Milton, WA 98354 Phone: 253-927-5252 | |
Teresa Ann Erickson Wills, OD Optometrist Medicare: Medicare Enrolled Practice Location: 900 Meridian E Ste 18, Milton, WA 98354 Phone: 253-927-5252 Fax: 253-927-4270 |