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9326 N Division St, Spokane, WA 99218-1227 | |
(509) 466-7136 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 9326 N Division St, Spokane, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154987535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Provider Name | Robert L Ulland |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1225080070 PECOS PAC ID: 0345270039 Enrollment ID: I20050812000342 |
Provider Name | Tanya D Reid |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1528010121 PECOS PAC ID: 5991748402 Enrollment ID: I20060829000155 |
Provider Name | Aaron J Cutler |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1649429788 PECOS PAC ID: 8628137817 Enrollment ID: I20081103000318 |
Provider Name | Robert K Rudman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821253964 PECOS PAC ID: 1850550385 Enrollment ID: I20120302000071 |
Provider Name | Jasdeep K Sidhu |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1780912170 PECOS PAC ID: 7618010455 Enrollment ID: I20140311000431 |
Mailing Address | Practice Location Address |
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Po Box 19060, Green Bay, WI 54307-9060 Ph: () - | 9326 N Division St, Spokane, WA 99218-1227 Ph: (509) 466-7136 |