| San Juans Vision Source | |
|
1286 Suite 106 B Mt Baker Road Eastsound WA 98245 | |
| (360) 376-5310 | |
| (866) 393-7127 |
| Full Name | San Juans Vision Source |
|---|---|
| Speciality | Clinic/Center |
| Location | 1286 Suite 106 B Mt Baker Road, Eastsound, Washington |
| Authorized Official Name and Position | Christopher T White (PRESIDENT) |
| Authorized Official Contact | 3603765310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Juans Vision Source Po Box 181 Eastsound WA 98245 Ph: (360) 376-5310 | San Juans Vision Source 1286 Suite 106 B Mt Baker Road Eastsound WA 98245 Ph: (360) 376-5310 |
| NPI Number | 1932227154 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 01/09/2015 |
| Medicare PECOS PAC ID | 9638249154 |
|---|---|
| Medicare Enrollment ID | O20080610000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932227154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OD00001839 (Washington) | Primary |
| Provider Name | Christopher White |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710020482 PECOS PAC ID: 9931279973 Enrollment ID: I20080701000550 |
| Provider Name | Nicholas Lee Castagna |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841910270 PECOS PAC ID: 4385029685 Enrollment ID: I20220922003698 |
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