| |
13414 E Sprague Ave, Spokane Valley, WA 99216-0848 | |
(509) 924-2015 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 13414 E Sprague Ave, Spokane Valley, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073565123 | NPI | - | NPPES |
35546 | Other | AVESIS | |
014070 | Other | VIP | |
WA09206 | Other | WA | NORIDIAN SUBMITTER ID |
213121-29 | Other | EYEMED | |
2013142 | Medicaid | WA | |
G8854794 | Other | MEDICARE | |
10829 | Other | MEDICARE | |
2005056 | Medicaid | WA |
Mailing Address | Practice Location Address |
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13414 E Sprague Ave, Spokane Valley, WA 99216-0848 Ph: (509) 924-2015 | 13414 E Sprague Ave, Spokane Valley, WA 99216-0848 Ph: (509) 924-2015 |