Proliance The Children And Family Eye Doctors is a
Ophthalmology based in Redmond, Washington. Proliance The Children And Family Eye Doctors is licensed to practice in Washington (license number 601484763) and their current practice location is
17130 Avondale Way Ne Ste 111, Redmond, Washington. It can be reached at their office (for appointments etc.) via phone at
(425) 885-6600.
NPI number for Proliance The Children And Family Eye Doctors is 1265986376 and their current mailing address is 17130 Avondale Way Ne Ste 111, Redmond, Washington. Proliance The Children And Family Eye Doctors
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1265986376.
Healthcare Provider's Profile
| Full Name | Proliance The Children And Family Eye Doctors |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 17130 Avondale Way Ne Ste 111, Redmond, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265986376
- Provider Enumeration Date: 08/05/2016
- Last Update Date: 08/22/2022
Medical Identifiers
Medical identifiers for Proliance The Children And Family Eye Doctors such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265986376 | NPI | - | NPPES |
| 222338 | Other | WA | WA STATE L & I |
| 2001403 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 601484763 (Washington) | Secondary |
| 207W00000X | Ophthalmology | 601484763 (Washington) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Proliance The Children And Family Eye Doctors is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Proliance The Children And Family Eye Doctors
17130 Avondale Way Ne Ste 111,
Redmond, WA 98052-4455
Ph: (425) 885-6600 | Proliance The Children And Family Eye Doctors
17130 Avondale Way Ne Ste 111,
Redmond, WA 98052-4455
Ph: (425) 885-6600 |
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