| Northwest Eye Care Professionals | |
|
15259 Se 82nd Dr, Suite 101, Clackamas, OR 97015-6609 | |
| (503) 657-0321 | |
| Not Available |
| Full Name | Northwest Eye Care Professionals |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 15259 Se 82nd Dr, Clackamas, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699976530 | NPI | - | NPPES |
| 282442 | Medicaid | OR | |
| 2018851 | Medicaid | WA | |
| 0213843 | Other | WA | WORKERS' COMPENSATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1620ATI (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Eye Care Professionals 15259 Se 82nd Dr, Suite 101, Clackamas, OR 97015-6609 Ph: (503) 657-0321 | Northwest Eye Care Professionals 15259 Se 82nd Dr, Suite 101, Clackamas, OR 97015-6609 Ph: (503) 657-0321 |
Derik Hardesty, OD Optometrist Medicare: Medicare Enrolled Practice Location: 12000 Se 82nd Ave, Clackamas, OR 97086 Phone: 503-659-5947 | |
Dr. Julia Sirianni, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066 | |
Allie De La Cruz, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321 | |
Jonathan Jay Attiyah, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066 | |
Rachel A Jorgensen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321 | |
John William Reski, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr, Suite 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066 | |
Mark Edward Mclain, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 12100 Se Stevens Ct Suite 106, Clackamas, OR 97086 Phone: 503-353-7269 |