| Grant W. Hardan Od Pllc | |
|
4750 N Division St Spokane WA 99207-1411 | |
| (509) 483-0161 | |
| Not Available |
| Full Name | Grant W. Hardan Od Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4750 N Division St, Spokane, Washington |
| Authorized Official Name and Position | Grant Wesley Hardan (OPTOMETRIST) |
| Authorized Official Contact | 5099546846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant W. Hardan Od Pllc 4119 S Napa St Spokane WA 99203-4236 Ph: (509) 944-8524 | Grant W. Hardan Od Pllc 4750 N Division St Spokane WA 99207-1411 Ph: (509) 483-0161 |
| NPI Number | 1962700344 |
|---|---|
| Provider Enumeration Date | 03/08/2011 |
| Last Update Date | 03/08/2011 |
| Medicare PECOS PAC ID | 7810168622 |
|---|---|
| Medicare Enrollment ID | O20110927000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962700344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jeanine N Stolp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538345699 PECOS PAC ID: 4587743562 Enrollment ID: I20081002000372 |
| Provider Name | Grant W Hardan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851603955 PECOS PAC ID: 0547431363 Enrollment ID: I20110927000356 |
| Provider Name | Kyle J Crance |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114372000 PECOS PAC ID: 1557628682 Enrollment ID: I20171128002731 |
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