| Fenno Eye Clinics Inc., P.s. | |
|
102 S Oak St, Colville, WA 99114-2846 | |
| (509) 684-5278 | |
| Not Available |
| Full Name | Fenno Eye Clinics Inc., P.s. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 102 S Oak St, Colville, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154463669 | NPI | - | NPPES |
| 2022960 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1708TX (Washington) | Primary |
| Provider Name | Michael Gregory Fenno |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366439242 PECOS PAC ID: 1052303757 Enrollment ID: I20100216000092 |
| Provider Name | Cheryl Fenno |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053308007 PECOS PAC ID: 6406990399 Enrollment ID: I20100324000515 |
| Provider Name | Kyle J Crance |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114372000 PECOS PAC ID: 1557628682 Enrollment ID: I20171128002731 |
| Mailing Address | Practice Location Address |
|---|---|
| Fenno Eye Clinics Inc., P.s. 102 S Oak St, Colville, WA 99114-2846 Ph: () - | Fenno Eye Clinics Inc., P.s. 102 S Oak St, Colville, WA 99114-2846 Ph: (509) 684-5278 |
Cheryl M Fenno, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 102 S Oak St, Colville, WA 99114 Phone: 509-684-5278 | |
Dr. Jonathan Wilson Harper, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 298 S Main St, Suite 301, Colville, WA 99114 Phone: 509-684-2221 Fax: 509-684-6222 | |
Kenton Scott Mcdougall, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 298 S Main St, Suite 301, Colville, WA 99114 Phone: 509-684-2221 Fax: 509-684-6222 | |
Michael Gregory Fenno, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 102 S Oak St, Colville, WA 99114 Phone: 509-684-5278 | |
H Theresa Porter, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 693 Hallerwood Way, Colville, WA 99114 Phone: 509-684-9293 | |
Northeastern Washington Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 102 S Oak St, Colville, WA 99114 Phone: 509-684-5278 Fax: 509-684-3268 |