Newport Vision Source | |
205 S Washington Ave, Newport, WA 99156-9670 | |
(509) 447-2945 | |
Not Available |
Full Name | Newport Vision Source |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 205 S Washington Ave, Newport, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629638929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Nils Ohlsen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1457358657 PECOS PAC ID: 2567457724 Enrollment ID: I20080728000093 |
Provider Name | Michael Gregory Fenno |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1366439242 PECOS PAC ID: 1052303757 Enrollment ID: I20100216000092 |
Provider Name | Cheryl Fenno |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1053308007 PECOS PAC ID: 6406990399 Enrollment ID: I20100324000515 |
Provider Name | Crystal Edison |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1386953461 PECOS PAC ID: 0143458638 Enrollment ID: I20140107001396 |
Provider Name | Theresa Wang |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1881021186 PECOS PAC ID: 2163746397 Enrollment ID: I20150119000109 |
Provider Name | Hilary Hopkins |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1467834614 PECOS PAC ID: 8820307515 Enrollment ID: I20160519002193 |
Provider Name | My Phuong Bui |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1831544295 PECOS PAC ID: 0840586400 Enrollment ID: I20160907002268 |
Provider Name | Kyle J Crance |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1114372000 PECOS PAC ID: 1557628682 Enrollment ID: I20171128002731 |
Provider Name | James M Phelan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124653464 PECOS PAC ID: 0446669592 Enrollment ID: I20210503001162 |
Provider Name | Amber Aria |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568610087 PECOS PAC ID: 1355409236 Enrollment ID: I20220803003477 |
Provider Name | Nayab Davis |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942782321 PECOS PAC ID: 0547512030 Enrollment ID: I20220804001829 |
Provider Name | Elizabeth Danielle Peters |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1174218242 PECOS PAC ID: 2567822240 Enrollment ID: I20230712004066 |
Provider Name | John Stuart |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841755212 PECOS PAC ID: 7315280252 Enrollment ID: I20230823001062 |
Mailing Address | Practice Location Address |
---|---|
Newport Vision Source 3109 S Dearborn Ln, Spokane, WA 99223-1536 Ph: (509) 670-1578 | Newport Vision Source 205 S Washington Ave, Newport, WA 99156-9670 Ph: (509) 447-2945 |
Dr. Kyle Crance, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 205 S Washington Ave, Newport, WA 99156 Phone: 509-447-2945 | |
Elizabeth Peters, Optometrist Medicare: Medicare Enrolled Practice Location: 205 S Washington Ave, Newport, WA 99156 Phone: 509-447-2945 |