Northwest Vision Center, P.c. | |
1510 Cooper Point Rd Sw Suite 110 Olympia WA 98502-5734 | |
(360) 489-0493 | |
(360) 943-9424 |
Full Name | Northwest Vision Center, P.c. |
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Speciality | Clinic/Center |
Location | 1510 Cooper Point Rd Sw, Olympia, Washington |
Authorized Official Name and Position | Dallas Robert Carr (PRESIDENT) |
Authorized Official Contact | 3604890493 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northwest Vision Center, P.c. 1510 Cooper Point Rd Sw Suite 110 Olympia WA 98502-5734 Ph: (360) 489-0493 | Northwest Vision Center, P.c. 1510 Cooper Point Rd Sw Suite 110 Olympia WA 98502-5734 Ph: (360) 489-0493 |
NPI Number | 1053509562 |
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Provider Enumeration Date | 10/09/2007 |
Last Update Date | 04/05/2010 |
Medicare PECOS PAC ID | 4284796665 |
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Medicare Enrollment ID | O20100113000262 |
Identifier | Type | State | Issuer |
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1053509562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | OD00001152 (Washington) | Primary |
Provider Name | Kimberly A Carr Yeates |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1114903937 PECOS PAC ID: 2961425830 Enrollment ID: I20060105000707 |
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Lacambra Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7205 Martin Way E, Suite A-69, Olympia, WA 98516 Phone: 206-403-7410 | |
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Olympia Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7010 Fax: 360-923-7089 |