Grays Harbor Vision Clinic, Inc. | |
301 N Broadway St Aberdeen WA 98520-3933 | |
(360) 533-1880 | |
(360) 533-1886 |
Full Name | Grays Harbor Vision Clinic, Inc. |
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Speciality | Clinic/Center |
Location | 301 N Broadway St, Aberdeen, Washington |
Authorized Official Name and Position | Craig D. Mehlhoff (DR./PRESIDENT) |
Authorized Official Contact | 3605331880 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grays Harbor Vision Clinic, Inc. Po Box 388 Aberdeen WA 98520-0093 Ph: (360) 533-1880 | Grays Harbor Vision Clinic, Inc. 301 N Broadway St Aberdeen WA 98520-3933 Ph: (360) 533-1880 |
NPI Number | 1265522932 |
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Provider Enumeration Date | 10/13/2006 |
Last Update Date | 05/20/2010 |
Medicare PECOS PAC ID | 4284523424 |
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Medicare Enrollment ID | O20040315000318 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265522932 | NPI | - | NPPES |
135989135989 | Other | WA | BLUE CROSS PROV. # |
1006392 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 601 803 571 (Washington) | Primary |
Provider Name | Scott T Berken |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1952490294 PECOS PAC ID: 6709912140 Enrollment ID: I20100325000052 |
Provider Name | Matthew Polster |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154604692 PECOS PAC ID: 8921318932 Enrollment ID: I20200923000072 |
Timothy H. Troeh, M D P S Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 9th Ave, Aberdeen, WA 98520 Phone: 360-589-6982 | |
Hany G Bashandy Md Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 Anderson Dr Ste 205, Aberdeen, WA 98520 Phone: 360-533-6038 Fax: 360-538-0807 | |
Kenneth I Hunt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1006 N H St, Aberdeen, WA 98520 Phone: 360-537-6391 Fax: 360-537-6322 | |
Colette M Kato Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Basich Blvd, Suite A, Aberdeen, WA 98520 Phone: 360-532-1800 Fax: 360-532-2658 | |
Harbor Infectious Diseases Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1730 Graves Ave, Aberdeen, WA 98520 Phone: 360-532-2311 | |
Coastal Internal Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1921 Sumner Avenue, Aberdeen, WA 98520 Phone: 360-538-0135 Fax: 360-533-3475 |