Paul Shepherd, OD | |
2726 Griffin Ave Ste B, Enumclaw, WA 98022-2362 | |
(360) 825-3000 | |
(360) 825-8408 |
Full Name | Paul Shepherd |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 40 Years |
Location | 2726 Griffin Ave Ste B, Enumclaw, 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 |
---|---|---|---|
1093918013 | NPI | - | NPPES |
SH2147 | Other | WA | REGENCE |
2016699 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 026101-OD00001619 (Washington) | Primary |
152W00000X | Optometrist | 1816 (Washington) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Enumclaw Family Optometry Clinic Ps | 1850430315 | 2 |
Provider Name | Enumclaw Family Optometry Clinic Ps |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841232121 PECOS PAC ID: 1850430315 Enrollment ID: O20091123000661 |
Mailing Address | Practice Location Address |
---|---|
Paul Shepherd, OD 2726 Griffin Ave Ste B, Enumclaw, WA 98022-2362 Ph: (360) 825-3000 | Paul Shepherd, OD 2726 Griffin Ave Ste B, Enumclaw, WA 98022-2362 Ph: (360) 825-3000 |
Enumclaw Vision Clinic Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 2823 Griffin Ave, Enumclaw, WA 98022 Phone: 360-825-1614 Fax: 360-825-8034 | |
Alexander Shepherd, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2726 Griffin Ave Ste B, Enumclaw, WA 98022 Phone: 360-825-3000 Fax: 360-825-8408 | |
Mark A Seaburg, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2823 Griffin Ave, Enumclaw, WA 98022 Phone: 360-825-1614 Fax: 360-825-8034 | |
Enumclaw Family Optometry Clinic Ps Optometrist Medicare: Medicare Enrolled Practice Location: 2726 Griffin Ave, Ste B, Enumclaw, WA 98022 Phone: 360-825-3000 Fax: 360-825-8408 | |
Evergreen Eye Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2820 Griffin Ave Ste 101, Enumclaw, WA 98022 Phone: 360-802-4549 Fax: 360-825-8354 |