| Ray Vision Llc | |
|
700 Se Chkalov Dr Ste 5 Vancouver WA 98683-5202 | |
| (360) 256-0612 | |
| (360) 896-5503 |
| Full Name | Ray Vision Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 Se Chkalov Dr Ste 5, Vancouver, Washington |
| Authorized Official Name and Position | Leah L. Ray (OWNER/SOLE MEMBER) |
| Authorized Official Contact | 5035503737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ray Vision Llc 7706 Ne 56th St Vancouver WA 98662-6244 Ph: (503) 550-3737 | Ray Vision Llc 700 Se Chkalov Dr Ste 5 Vancouver WA 98683-5202 Ph: (360) 256-0612 |
| NPI Number | 1932777968 |
|---|---|
| Provider Enumeration Date | 06/16/2021 |
| Last Update Date | 06/16/2021 |
| Medicare PECOS PAC ID | 1850795766 |
|---|---|
| Medicare Enrollment ID | O20210813001025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932777968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Leah L Ray |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528168168 PECOS PAC ID: 8527194182 Enrollment ID: I20100407000559 |
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