| |
2530 Rudkin Rd, Union Gap, WA 98903-1632 | |
(509) 248-9833 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 2530 Rudkin Rd, Union Gap, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396797486 | NPI | - | NPPES |
G8854795 | Other | MEDICARE | |
35549 | Other | AVESIS | |
WA09209 | Other | WA | NORIDIAN SUBMITTER ID |
17672 | Other | MEDICARE | |
2029924 | Medicaid | WA | |
014073 | Other | VIP | |
213121-30 | Other | EYEMED | |
2200004 | Medicaid | WA |
Mailing Address | Practice Location Address |
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2530 Rudkin Rd, Union Gap, WA 98903-1632 Ph: (509) 248-9833 | 2530 Rudkin Rd, Union Gap, WA 98903-1632 Ph: (509) 248-9833 |