| |
5500 Martin Way E, Lacey, WA 98516-6326 | |
(360) 456-4532 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 5500 Martin Way E, Lacey, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033161419 | NPI | - | NPPES |
17676 | Other | MEDICARE | |
CP2230-57 | Other | EYEMED | |
2020667 | Medicaid | WA | |
WA09205 | Other | WA | NORIDIAN SUBMITTER ID |
014113 | Other | VIP | |
G8855125 | Other | MEDICARE | |
2016293 | Medicaid | WA |
Mailing Address | Practice Location Address |
---|---|
5500 Martin Way E, Lacey, WA 98516-6326 Ph: (360) 456-4532 | 5500 Martin Way E, Lacey, WA 98516-6326 Ph: (360) 456-4532 |