Whidbey Vision Care Inc Ps | |
1690 Main St, Ste 103, Freeland, WA 98249 | |
(360) 331-8424 | |
(360) 331-8425 |
Full Name | Whidbey Vision Care Inc Ps |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1690 Main St, Freeland, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124199435 | NPI | - | NPPES |
2006765 | Medicaid | WA | |
2031367 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OD00003150 (Washington) | Primary |
152W00000X | Optometrist | OD00003987 (Washington) | Secondary |
152W00000X | Optometrist | OD00004139 (Washington) | Secondary |
Provider Name | Chris C Gaustad |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1588606867 PECOS PAC ID: 9436040375 Enrollment ID: I20060301000069 |
Provider Name | Roy G Gordon |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669749545 PECOS PAC ID: 4880860774 Enrollment ID: I20111227000068 |
Provider Name | Keith B Johnston |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265589402 PECOS PAC ID: 1254341795 Enrollment ID: I20150220001100 |
Provider Name | Rebecca Jourdan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1710331160 PECOS PAC ID: 0345512562 Enrollment ID: I20170823002842 |
Provider Name | Angela Rachel Barnes |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1699260513 PECOS PAC ID: 6406192905 Enrollment ID: I20190103002110 |
Provider Name | Tamela Burrell-verbarg |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013936574 PECOS PAC ID: 9638137995 Enrollment ID: I20200205000906 |
Mailing Address | Practice Location Address |
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Whidbey Vision Care Inc Ps Po Box 1048, Freeland, WA 98249-1048 Ph: (360) 331-8424 | Whidbey Vision Care Inc Ps 1690 Main St, Ste 103, Freeland, WA 98249 Ph: (360) 331-8424 |
Dr. James Leon Cox, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5380 E Harbor Rd, Freeland, WA 98249 Phone: 360-331-4520 Fax: 360-331-4524 |