Paul Nefedov, | |
600 Triangle Ctr Ste 400, Longview, WA 98632-4667 | |
(360) 423-0220 | |
(360) 423-0697 |
Full Name | Paul Nefedov |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 7 Years |
Location | 600 Triangle Ctr Ste 400, Longview, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487017075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 33688 (California) | Secondary |
152W00000X | Optometrist | OD60997195 (Washington) | Secondary |
152W00000X | Optometrist | ATI4325 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pacific University | 0345144705 | 20 |
Oregon Health And Sciences University/university Medical Group | 4880760107 | 1479 |
Oregon Health And Sciences University/university Medical Group | 4880760107 | 1479 |
Provider Name | Pacific University |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306954011 PECOS PAC ID: 0345144705 Enrollment ID: O20031126000350 |
Provider Name | University Professional Services |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
Mailing Address | Practice Location Address |
---|---|
Paul Nefedov, 600 Triangle Ctr Ste 400, Longview, WA 98632-4667 Ph: (360) 423-0220 | Paul Nefedov, 600 Triangle Ctr Ste 400, Longview, WA 98632-4667 Ph: (360) 423-0220 |
Ian Matthew Cheslock, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 950 11th Ave, Longview, WA 98632 Phone: 360-577-1500 Fax: 360-425-0735 | |
Michael D. Berger, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-575-4801 | |
Charles A Wardle Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1426 Commerce Ave, Longview, WA 98632 Phone: 360-423-7650 Fax: 360-423-2346 | |
Kristi Kaylynn Poe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 820 Ocean Beach Hwy, Suite 100, Longview, WA 98632 Phone: 360-636-2020 Fax: 360-425-0221 | |
Cascade Eye Care Ps Optometrist Medicare: Medicare Enrolled Practice Location: 950 11th Ave, Longview, WA 98632 Phone: 360-577-1500 Fax: 360-425-0735 | |
Jeffrey A Fries, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 877-213-2000 |