Stevenson Family Eye Care | |
136 Nw 2nd St, Stevenson, WA 98648-4225 | |
(509) 427-2020 | |
(509) 427-8268 |
Full Name | Stevenson Family Eye Care |
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Type | Facility |
Speciality | Optometrist |
Location | 136 Nw 2nd St, Stevenson, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548692437 | NPI | - | NPPES |
2022325 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 3314 (Washington) | Primary |
Provider Name | Anthony William Bergstrom |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1306917356 PECOS PAC ID: 0648448282 Enrollment ID: I20110726000182 |
Mailing Address | Practice Location Address |
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Stevenson Family Eye Care Po Box 378, Stevenson, WA 98648-0378 Ph: (509) 427-2020 | Stevenson Family Eye Care 136 Nw 2nd St, Stevenson, WA 98648-4225 Ph: (509) 427-2020 |
Dr. Anthony W Bergstrom, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 136 Nw 2nd St, Stevenson, WA 98648 Phone: 509-427-2020 Fax: 509-427-8268 | |
Dr. Keith Lyndon Miller, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 136 Nw Second Street, Stevenson, WA 98648 Phone: 509-427-8259 Fax: 509-427-8268 |