| |
1450 S Grand Ave, Pullman, WA 99163-4900 | |
(509) 332-0820 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 1450 S Grand Ave, Pullman, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801848924 | NPI | - | NPPES |
WA09204 | Other | WA | NORIDIAN SUBMITTER ID |
G8855124 | Other | MEDICARE | |
CP2230-58 | Other | EYEMED | |
2019388 | Medicaid | WA | |
35544 | Other | AVESIS | |
17678 | Other | MEDICARE | |
2019115 | Medicaid | WA |
Mailing Address | Practice Location Address |
---|---|
1450 S Grand Ave, Pullman, WA 99163-4900 Ph: (509) 332-0820 | 1450 S Grand Ave, Pullman, WA 99163-4900 Ph: (509) 332-0820 |