| |
5801 Summitview Ave, Yakima, WA 98908-3006 | |
(509) 965-6405 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 5801 Summitview Ave, Yakima, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891747879 | NPI | - | NPPES |
014081 | Other | VIP | |
2010312 | Medicaid | WA | |
213121-31 | Other | EYEMED | |
G8854796 | Other | MEDICARE | |
17673 | Other | MEDICARE | |
2007912 | Medicaid | WA | |
WA09208 | Other | WA | NORIDIAN SUBMITTER ID |
Mailing Address | Practice Location Address |
---|---|
5801 Summitview Ave, Yakima, WA 98908-3006 Ph: (509) 965-6405 | 5801 Summitview Ave, Yakima, WA 98908-3006 Ph: (509) 965-6405 |