Yakima Vision Center, Pc | |
2010 W Lincoln Ave Suite 1 Yakima WA 98902-2413 | |
(509) 965-5200 | |
(509) 452-7563 |
Full Name | Yakima Vision Center, Pc |
---|---|
Speciality | Clinic/Center |
Location | 2010 W Lincoln Ave, Yakima, Washington |
Authorized Official Name and Position | Susan Laible Farmer (OPTOMETRIC PHYSICIAN/OWNER) |
Authorized Official Contact | 5099655200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Yakima Vision Center, Pc 2010 W Lincoln Ave Suite 1 Yakima WA 98902-2413 Ph: (509) 965-5200 | Yakima Vision Center, Pc 2010 W Lincoln Ave Suite 1 Yakima WA 98902-2413 Ph: (509) 965-5200 |
NPI Number | 1528237203 |
---|---|
Provider Enumeration Date | 02/26/2008 |
Last Update Date | 05/04/2012 |
Medicare PECOS PAC ID | 6406934827 |
---|---|
Medicare Enrollment ID | O20080424000492 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528237203 | NPI | - | NPPES |
2034494 | Medicaid | WA | |
G8872148 | Other | WA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | OD00003018 (Washington) | Primary |
Provider Name | Susan Farmer |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1881740769 PECOS PAC ID: 4082693296 Enrollment ID: I20040720000128 |
Provider Name | Dana M Spearin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1659725547 PECOS PAC ID: 1759657257 Enrollment ID: I20171029000006 |
Provider Name | Tiffany R Lundberg |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1558985671 PECOS PAC ID: 4183046683 Enrollment ID: I20200629002462 |
Yakima Gastroenterology Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3909 Creekside Loop, Suite 130, Yakima, WA 98902 Phone: 509-248-6616 Fax: 509-248-4983 | |