| Wine Country Vision | |
|
111 University Pkwy Suite 104 Yakima WA 98901-1471 | |
| (509) 966-0675 | |
| (509) 966-0675 |
| Full Name | Wine Country Vision |
|---|---|
| Speciality | Clinic/Center |
| Location | 111 University Pkwy, Yakima, Washington |
| Authorized Official Name and Position | Jeanette Stromme (OWNER/DR.) |
| Authorized Official Contact | 5099660675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wine Country Vision 111 University Pkwy Suite 104 Yakima WA 98901-1471 Ph: (509) 966-0675 | Wine Country Vision 111 University Pkwy Suite 104 Yakima WA 98901-1471 Ph: (509) 966-0675 |
| NPI Number | 1548595325 |
|---|---|
| Provider Enumeration Date | 10/12/2009 |
| Last Update Date | 10/12/2009 |
| Medicare PECOS PAC ID | 8921145087 |
|---|---|
| Medicare Enrollment ID | O20091021000677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548595325 | NPI | - | NPPES |
| 2030971 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 3993 (Washington) | Primary |
| Provider Name | Jeanette M Stromme |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942325360 PECOS PAC ID: 1355371881 Enrollment ID: I20050815000980 |
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