Miranda Hueners, OD | |
1410 Lakeside Ct Ste 103, Yakima, WA 98902-7305 | |
(509) 453-2010 | |
Not Available |
Full Name | Miranda Hueners |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 4 Years |
Location | 1410 Lakeside Ct Ste 103, Yakima, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144848912 | NPI | - | NPPES |
300117730 | Medicaid | WA | |
OD61116371 | Other | WA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT-002436 (Arizona) | Secondary |
152W00000X | Optometrist | 61116371 (Washington) | Secondary |
152W00000X | Optometrist | OD61116371 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cantley Vision Inc Ps | 9638162738 | 5 |
Provider Name | Cantley Vision Inc Ps |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1811109671 PECOS PAC ID: 9638162738 Enrollment ID: O20040405001686 |
Mailing Address | Practice Location Address |
---|---|
Miranda Hueners, OD 1410 Lakeside Ct Ste 103, Yakima, WA 98902-7305 Ph: (509) 453-2010 | Miranda Hueners, OD 1410 Lakeside Ct Ste 103, Yakima, WA 98902-7305 Ph: (509) 453-2010 |
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