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120 N Main St, Colfax, WA 99111-1801 | |
(509) 397-3961 | |
(509) 397-6131 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 120 N Main St, Colfax, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1952446585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 3638 (Washington) | Primary |
Provider Name | Darin L Paulson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1437231453 PECOS PAC ID: 2860562857 Enrollment ID: I20100224000422 |
Provider Name | Suzanne D Scott |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1326120338 PECOS PAC ID: 7315017308 Enrollment ID: I20100302000893 |
Provider Name | Matthew G Walker |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598286635 PECOS PAC ID: 7810253283 Enrollment ID: I20171117002540 |
Mailing Address | Practice Location Address |
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120 N Main St, Colfax, WA 99111-1801 Ph: (509) 397-3961 | 120 N Main St, Colfax, WA 99111-1801 Ph: (509) 397-3961 |