Stephanie Lynn Hwang, OD | |
15259 Se 82nd Dr Ste 101, Clackamas, OR 97015-6609 | |
(503) 882-2686 | |
Not Available |
Full Name | Stephanie Lynn Hwang |
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Gender | Female |
Speciality | Optometrist - Pediatrics |
Location | 15259 Se 82nd Dr Ste 101, Clackamas, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1659955920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WP0200X | Optometrist - Pediatrics | ATI4547 (Oregon) | Secondary |
152WP0200X | Optometrist - Pediatrics | 61104188 (Washington) | Primary |
Provider Name | Jason R Egbert Od Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275051344 PECOS PAC ID: 5395011761 Enrollment ID: O20171030003536 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Lynn Hwang, OD 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015-6609 Ph: (503) 882-2686 | Stephanie Lynn Hwang, OD 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015-6609 Ph: (503) 882-2686 |
Derik Hardesty, OD Optometrist Medicare: Medicare Enrolled Practice Location: 12000 Se 82nd Ave, Clackamas, OR 97086 Phone: 503-659-5947 | |
Dr. Julia Sirianni, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066 | |
Allie De La Cruz, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321 | |
Jonathan Jay Attiyah, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066 | |
Rachel A Jorgensen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321 | |
John William Reski, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr, Suite 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066 | |
Mark Edward Mclain, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 12100 Se Stevens Ct Suite 106, Clackamas, OR 97086 Phone: 503-353-7269 |