Prabhdeep Johal, | |
32717 1st Ave S Ste 6, Federal Way, WA 98003-5758 | |
(253) 838-5428 | |
Not Available |
Full Name | Prabhdeep Johal |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 32717 1st Ave S Ste 6, Federal Way, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801411574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 61071405 (Washington) | Primary |
Provider Name | Bonney Lake Optical Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154478014 PECOS PAC ID: 3971492547 Enrollment ID: O20040311001389 |
Provider Name | Blue Wave Eye Doctors Professional Limited Liability Company |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053060475 PECOS PAC ID: 5294116265 Enrollment ID: O20230104002260 |
Mailing Address | Practice Location Address |
---|---|
Prabhdeep Johal, 9801 204th Ave E, Bonney Lake, WA 98391-6559 Ph: (253) 750-8135 | Prabhdeep Johal, 32717 1st Ave S Ste 6, Federal Way, WA 98003-5758 Ph: (253) 838-5428 |
Brent Chin Od Inc Ps Optometrist Medicare: Medicare Enrolled Practice Location: 32717 1st Ave S, Ste.6, Federal Way, WA 98003 Phone: 253-838-5428 Fax: 253-838-0875 | |
Jeff Hsiao, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 32717 1st Ave S, Suite 6, Federal Way, WA 98003 Phone: 253-838-5428 Fax: 253-838-0875 | |
Westview Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 31625 Pacific Hwy S Ste E1, Federal Way, WA 98003 Phone: 503-481-4775 | |
Tapuwa Chikwinya, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 301 S 320th St, Federal Way, WA 98003 Phone: 253-874-7958 | |
Mckenzie Suzanne Fogarty, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 34719 6th Ave S, Federal Way, WA 98003 Phone: 206-260-2503 Fax: 855-929-1515 | |
David C. Caton, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 S 320th St, Federal Way, WA 98003 Phone: 253-874-7000 | |
Northwest Vision And Learning Center Optometrist Medicare: Medicare Enrolled Practice Location: 1705 South 324th Place, Federal Way, WA 98003 Phone: 253-661-6005 |