| Issaquah Vision Source, Ps | |
|
450 Nw Gilman Blvd, Ste 104, Issaquah, WA 98027-2483 | |
| (425) 392-8756 | |
| (425) 391-8631 |
| Full Name | Issaquah Vision Source, Ps |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 450 Nw Gilman Blvd, Issaquah, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225195431 | NPI | - | NPPES |
| 2081305 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Stephan L Cassidy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679630867 PECOS PAC ID: 4284736554 Enrollment ID: I20070217000057 |
| Provider Name | Walter V Cassidy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447317615 PECOS PAC ID: 0648372912 Enrollment ID: I20070217000066 |
| Provider Name | Shani E Rerecich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619225190 PECOS PAC ID: 6608025424 Enrollment ID: I20130328000337 |
| Provider Name | Erinn Tolomei |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942617865 PECOS PAC ID: 8022239060 Enrollment ID: I20141016001319 |
| Provider Name | Christina Schiller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841606738 PECOS PAC ID: 8224255104 Enrollment ID: I20160219001477 |
| Provider Name | Adam Richard Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912591884 PECOS PAC ID: 6709242316 Enrollment ID: I20230523002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Issaquah Vision Source, Ps 450 Nw Gilman Blvd, Ste 104, Issaquah, WA 98027-2483 Ph: (425) 392-8756 | Issaquah Vision Source, Ps 450 Nw Gilman Blvd, Ste 104, Issaquah, WA 98027-2483 Ph: (425) 392-8756 |
Dr. Frank Swenson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 700 Nw Gilman Blvd., Suite E-102, Issaquah, WA 98027 Phone: 425-391-1819 | |
Klahanie Eye Care Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4538 Klahanie Dr Se, Issaquah, WA 98029 Phone: 425-392-9982 Fax: 815-301-5473 | |
Clemence Mendoza, OD Optometrist Medicare: Medicare Enrolled Practice Location: 100 Ne Gilman Blvd, Issaquah, WA 98027 Phone: 425-557-8000 | |
Dr. Michael Dennis Erickson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4538 Klahanie Dr Se, Issaquah, WA 98029 Phone: 425-392-9982 Fax: 815-301-5473 | |
Christina Schiller Od Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 970 5th Ave Nw Ste 120, Issaquah, WA 98027 Phone: 425-276-0388 | |
Dr. Teri Tsuchiya Yoshimura, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1145 Nw Gilman Blvd # G-12, Issaquah, WA 98027 Phone: 425-391-9331 Fax: 425-391-9331 |