Eye And Contact Lens Center Ps | |
601 Market St Kirkland WA 98033-5422 | |
(425) 822-8204 | |
(425) 822-8001 |
Full Name | Eye And Contact Lens Center Ps |
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Speciality | Clinic/Center |
Location | 601 Market St, Kirkland, Washington |
Authorized Official Name and Position | Michael Anthony Golitz (PRESIDENT) |
Authorized Official Contact | 4258228204 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eye And Contact Lens Center Ps 601 Market St Kirkland WA 98033-5422 Ph: (425) 822-8204 | Eye And Contact Lens Center Ps 601 Market St Kirkland WA 98033-5422 Ph: (425) 822-8204 |
NPI Number | 1629336847 |
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Provider Enumeration Date | 04/25/2012 |
Last Update Date | 10/01/2012 |
Medicare PECOS PAC ID | 8729240148 |
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Medicare Enrollment ID | O20120501000771 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629336847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | WA1818 (Washington) | Primary |
Provider Name | Michael Anthony Golitz |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447301528 PECOS PAC ID: 2264609783 Enrollment ID: I20120124000106 |
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