Pacific Eye Care Of Poulsbo Ps | |
20669 Bond Rd Ne, Ste 100, Poulsbo, WA 98370-6525 | |
(360) 779-2020 | |
(360) 779-3093 |
Full Name | Pacific Eye Care Of Poulsbo Ps |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 20669 Bond Rd Ne, Poulsbo, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205825262 | NPI | - | NPPES |
2018968 | Medicaid | WA | |
7074982 | Medicaid | WA | |
G115140600 | Other | WA | MEDICARE PART B |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Washington) | Secondary |
207W00000X | Ophthalmology | MD00029555 (Washington) | Primary |
Provider Name | Lindsey K Sewell |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1114079928 PECOS PAC ID: 5698856276 Enrollment ID: I20080122000197 |
Provider Name | James Lin |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1821085846 PECOS PAC ID: 3577600014 Enrollment ID: I20100421000380 |
Provider Name | Andrew G Noble |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083963482 PECOS PAC ID: 6608027479 Enrollment ID: I20121105000314 |
Provider Name | Lindsay M Hendricks |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285980623 PECOS PAC ID: 3870736572 Enrollment ID: I20130828000524 |
Provider Name | Dennis E Ottemiller |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1649271487 PECOS PAC ID: 3274520127 Enrollment ID: I20191021003062 |
Provider Name | Connor David Nathe |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1770044752 PECOS PAC ID: 2668707514 Enrollment ID: I20230629000877 |
Mailing Address | Practice Location Address |
---|---|
Pacific Eye Care Of Poulsbo Ps 20669 Bond Rd Ne, Ste 100, Poulsbo, WA 98370-6525 Ph: (360) 779-2020 | Pacific Eye Care Of Poulsbo Ps 20669 Bond Rd Ne, Ste 100, Poulsbo, WA 98370-6525 Ph: (360) 779-2020 |