| |
23160 St Hwy 3, Belfair, WA 98528 | |
(360) 275-2020 | |
(360) 275-6848 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 23160 St Hwy 3, Belfair, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720285059 | NPI | - | NPPES |
2033515 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OD00001135 (Washington) | Primary |
Mailing Address | Practice Location Address |
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Po Box 505, Belfair, WA 98528-0505 Ph: (360) 275-2020 | 23160 St Hwy 3, Belfair, WA 98528 Ph: (360) 275-2020 |