Olympia Vision Clinic And Contact Lens Center, Pllc | |
1625 Cooper Point Rd Sw, Olympia, WA 98502-5735 | |
(360) 357-6683 | |
(360) 754-0482 |
Full Name | Olympia Vision Clinic And Contact Lens Center, Pllc |
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Type | Facility |
Speciality | Optometrist |
Location | 1625 Cooper Point Rd Sw, Olympia, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962544692 | NPI | - | NPPES |
2031011 | Medicaid | WA | |
4576KO | Other | WA | REGENCE RIDER NUMBER |
201448 | Medicaid | WA | |
TO5614 | Other | WA | REGENCE RIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Roger W Hall |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1932271921 PECOS PAC ID: 6002718129 Enrollment ID: I20040121000175 |
Provider Name | Joanna S Haws |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1043252323 PECOS PAC ID: 0749224798 Enrollment ID: I20050610000679 |
Provider Name | Dale L Tosland |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285629485 PECOS PAC ID: 1254323678 Enrollment ID: I20100315000993 |
Provider Name | Carl Ekman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1174837579 PECOS PAC ID: 9638365794 Enrollment ID: I20101201000552 |
Provider Name | Joseph J T Renaud |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1952926636 PECOS PAC ID: 9739506213 Enrollment ID: I20200824001002 |
Provider Name | Tamiko K Escalante |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1639846595 PECOS PAC ID: 9537559935 Enrollment ID: I20211129000806 |
Provider Name | Dane Michael Tosland |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1245962760 PECOS PAC ID: 7911376041 Enrollment ID: I20221213001801 |
Provider Name | Michael Scott Wagner |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215676572 PECOS PAC ID: 5890168488 Enrollment ID: I20230301002285 |
Provider Name | Joshua Cherng |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1780376996 PECOS PAC ID: 5890157226 Enrollment ID: I20230816001721 |
Provider Name | Amrit K Jawanda |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1508328774 PECOS PAC ID: 9436581360 Enrollment ID: I20230929003086 |
Mailing Address | Practice Location Address |
---|---|
Olympia Vision Clinic And Contact Lens Center, Pllc 1625 Cooper Point Rd Sw, Olympia, WA 98502-5735 Ph: (360) 357-6683 | Olympia Vision Clinic And Contact Lens Center, Pllc 1625 Cooper Point Rd Sw, Olympia, WA 98502-5735 Ph: (360) 357-6683 |
Dr. Jay Woodworth Nelson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 625 Black Lake Blvd Sw, Olympia, WA 98502 Phone: 360-943-2334 Fax: 360-943-2879 | |
Dr. James H. Grimes, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1405 Harrison Ave Nw, Ste. 101, Olympia, WA 98502 Phone: 360-357-5548 Fax: 360-786-9797 | |
Dr. Kimberly A Carr-yeates, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1510 Cooper Point Rd Sw, Ste 110, Olympia, WA 98502 Phone: 360-489-0493 Fax: 360-943-9424 | |
Dr. Joseph Beaushaw, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 625 Black Lake Blvd Sw, Olympia, WA 98502 Phone: 360-943-2334 | |
Brian W Sullivan, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 215 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-456-4800 Fax: 360-456-4812 | |
Olympia Eye Clinic Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 215 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-456-4800 Fax: 360-456-4812 | |
Kim L Hoover, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7650 |